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NORTHWEST COLUMBIA ENT NPI 1487830964


NPI Information

NPI: 1487830964
Provider Name: NORTHWEST COLUMBIA ENT
Classification: Otolaryngology - 207YX0905X
Entity Type: Organization

Specialization: Otolaryngology/Facial Plastic Surgery

Address:
3937 SUNSET BLVD
STE F
WEST COLUMBIA, SC
ZIP 29169
Phone: (803) 926-8780
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NORTHWEST COLUMBIA ENT is an otolaryngology/facial plastic surgery otolaryngology in West Columbia, SC. The provider is an otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions. NORTHWEST COLUMBIA ENT NPI is 1487830964. The provider is registered as an organization entity type.

The provider's business location address is:

3937 SUNSET BLVD
STE F
WEST COLUMBIA, SC
ZIP 29169
Phone: (803) 926-8780
Fax: (803) 791-4485

The provider's authorized official is Patricia W Thompson .
The authorized official title is Administrator and has the following contact phone number (803) 926-8780.

The enumeration date for this NPI number is 1/15/2008 and was last updated on 4/15/2008.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QS1200XClinic/CenterSleep Disorder DiagnosticMD5034ALABAMANo
2207YX0905XOtolaryngologyOtolaryngology/Facial Plastic SurgeryMD7394SOUTH CAROLINAYes

Other Identifiers

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

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
17444MEDICARE PINSOUTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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