PALMETTO PEDIATRIC GASTROENTEROLOGY NPI 1558320275

NPI Information

PALMETTO PEDIATRIC GASTROENTEROLOGY is a medical specialty clinic center in Columbia, 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). PALMETTO PEDIATRIC GASTROENTEROLOGY NPI is 1558320275. The provider is registered as an organization entity type.

The provider's business location address is:

2113 ADAMS GRV
SUITE 200
COLUMBIA, SC
ZIP 29203-102
Phone: (803) 254-1006
Fax: (803) 254-2090

The provider's authorized official is Rathna P. Amarnath .
The authorized official title is Physician and has the following contact phone number (803) 254-1006.

The enumeration date for this NPI number is 3/21/2006 and was last updated on 5/27/2008.

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:

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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