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PALMETTO HEALTH - UNIVERSITY OF SOUTH CAROLINA MEDICAL GROUP NPI 1205325883


NPI Information

NPI: 1205325883
Provider Name: PALMETTO HEALTH - UNIVERSITY OF SOUTH CAROLINA MEDICAL GROUP
Classification: Pediatrics - 2080P0202X
Entity Type: Organization

Specialization: Pediatric Cardiology

Address:
9 RICHLAND MEDICAL PARK DR STE 110
COLUMBIA, SC
ZIP 29203
Phone: (803) 434-7940
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PALMETTO HEALTH - UNIVERSITY OF SOUTH CAROLINA MEDICAL GROUP is a pediatric cardiology pediatrics in Columbia, SC. The provider is a pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease. PALMETTO HEALTH - UNIVERSITY OF SOUTH CAROLINA MEDICAL GROUP NPI is 1205325883. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

9 RICHLAND MEDICAL PARK DR STE 110
COLUMBIA, SC
ZIP 29203-859
Phone: (803) 434-7940
Fax: (803) 434-2262

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
12080P0202XPediatricsPediatric CardiologyYes

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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