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PALMETTO HEALTH - UNIVERSITY OF SOUTH CAROLINA MEDICAL GROUP NPI 1114416799


NPI Information

NPI: 1114416799
Provider Name: PALMETTO HEALTH - UNIVERSITY OF SOUTH CAROLINA MEDICAL GROUP
Classification: Pediatrics - 2080C0008X
Entity Type: Organization

Specialization: Child Abuse Pediatrics

Address:
3710 LANDMARK DR STE 300
COLUMBIA, SC
ZIP 29204
Phone: (803) 898-1470
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PALMETTO HEALTH - UNIVERSITY OF SOUTH CAROLINA MEDICAL GROUP is a child abuse pediatrics pediatrics in Columbia, SC. The provider is a Child Abuse Pediatrician serves as a resource to children, families and communities by accurately diagnosing abuse; consulting with community agencies on child safety; providing expertise in courts of law; treating consequences of abuse and neglect; directing child abuse and neglect prevention programs and participating on multidisciplinary teams investigating; and managing child abuse cases. PALMETTO HEALTH - UNIVERSITY OF SOUTH CAROLINA MEDICAL GROUP NPI is 1114416799. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3710 LANDMARK DR STE 300
COLUMBIA, SC
ZIP 29204-034
Phone: (803) 898-1470
Fax: (803) 898-1471

The provider's authorized official is William D. Anderson Iii, .
The authorized official title is Chief Medical Officer and has the following contact phone number (803) 545-5005.

The enumeration date for this NPI number is 5/9/2018 and was last updated on 5/9/2018.


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
1363LP0200XNurse PractitionerPediatricsNo
22080C0008XPediatricsChild Abuse PediatricsYes

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
1GP7530MEDICAIDSOUTH 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: 11/14/2023

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