SOUTHEASTERN EAR NOSE THROAT ALLERGY AND SLEEP DISORDERS INSTITUTE NPI 1770809428

NPI Information

NPI: 1770809428
Provider Name: SOUTHEASTERN EAR NOSE THROAT ALLERGY AND SLEEP DISORDERS INSTITUTE
Classification: Otolaryngology - 207YX0602X
Entity Type: Organization

Specialization: Otolaryngic Allergy

Address:
1040 PINNACLE POINT DR
COLUMBIA, SC
ZIP 29223
Phone: (803) 509-7200
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SOUTHEASTERN EAR NOSE THROAT ALLERGY AND SLEEP DISORDERS INSTITUTE is an otolaryngic allergy otolaryngology in Columbia, SC. The provider is an otolaryngologist who specializes in the diagnosis and treatment of otolaryngic allergies and other allergic diseases. SOUTHEASTERN EAR NOSE THROAT ALLERGY AND SLEEP DISORDERS INSTITUTE NPI is 1770809428. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1040 PINNACLE POINT DR
COLUMBIA, SC
ZIP 29223-735
Phone: (803) 509-7200
Fax: (803) 509-7213

The provider's authorized official is Chad B Gunnlaugsson .
The authorized official title is Owner and has the following contact phone number (803) 509-7200.

The enumeration date for this NPI number is 4/20/2010 and was last updated on 3/7/2023.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207YS0012X	Otolaryngology	Sleep Medicine	28760	SOUTH CAROLINA	No
2	207YS0123X	Otolaryngology	Facial Plastic Surgery	28760	SOUTH CAROLINA	No
3	207YX0602X	Otolaryngology	Otolaryngic Allergy	28760	SOUTH CAROLINA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	GP5437	MEDICAID	SOUTH 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

NPI Synchronization or Removal

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