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PALMETTO ALLERGY & ASTHMA PA NPI 1891754651


NPI Information

NPI: 1891754651
Provider Name: PALMETTO ALLERGY & ASTHMA PA
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
STE 430
9 RICHLAND MEDICAL PK
COLUMBIA, SC
ZIP 29203
Phone: (803) 765-9435
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PALMETTO ALLERGY & ASTHMA PA is a clinic center in Columbia, SC. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). PALMETTO ALLERGY & ASTHMA PA NPI is 1891754651. The provider is registered as an organization entity type.

The provider's business location address is:

STE 430
9 RICHLAND MEDICAL PK
COLUMBIA, SC
ZIP 29203-870
Phone: (803) 765-9435
Fax: (803) 765-2446

The provider's authorized official is Lisa S Hutto .
The authorized official title is Physician and has the following contact phone number (803) 765-9435.

The enumeration date for this NPI number is 3/21/2006 and was last updated on 6/7/2017.


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
1261Q00000XClinic/CenterYes

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
16775MEDICARE PINSOUTH CAROLINA
2=========OTHERSOUTH CAROLINAEIN #
312987OTHERSOUTH CAROLINASC STATE MED LIC #
41528012960OTHERSOUTH CAROLINAINDIVIDUAL NPI
5GP1022MEDICAIDSOUTH CAROLINA
6E50290MEDICARE UPINSOUTH 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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