SOUTHEAST PULMONARY AND CRITICAL CARE LLC NPI 1275830507

NPI Information

SOUTHEAST PULMONARY AND CRITICAL CARE LLC is a medical specialty clinic center in Rock Hill, SC. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). SOUTHEAST PULMONARY AND CRITICAL CARE LLC NPI is 1275830507. The provider is registered as an organization entity type.

The provider's business location address is:

370 S HERLONG AVE
SUITE 200
ROCK HILL, SC
ZIP 29732-160
Phone: (803) 980-5864
Fax: (803) 980-5817

The provider's authorized official is Michael B Denenberg .
The authorized official title is Physician and has the following contact phone number (803) 980-5864.

The CLIA number assigned to this NPI record is 42D0999720 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/23/2011 and was last updated on 8/31/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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