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PEDIATRIC ASSOCIATES P.A. NPI 1275638033


NPI Information

NPI: 1275638033
Provider Name: PEDIATRIC ASSOCIATES, P.A.
Classification: Pediatrics - 208000000X
Entity Type: Organization
Address:
14 RICHLAND MEDICAL PARK DR
STE. 410
COLUMBIA, SC
ZIP 29203
Phone: (803) 799-9044
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PEDIATRIC ASSOCIATES, P.A. is a pediatrics in Columbia, SC. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. PEDIATRIC ASSOCIATES, P.A. NPI is 1275638033. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

14 RICHLAND MEDICAL PARK DR
STE. 410
COLUMBIA, SC
ZIP 29203-877
Phone: (803) 799-9044
Fax: (803) 256-8119

The provider's authorized official is James Hammond .
The authorized official title is President and has the following contact phone number (803) 799-9044.

The enumeration date for this NPI number is 9/14/2006 and was last updated on 8/22/2020.


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
1208000000XPediatrics6804SOUTH CAROLINAYes

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
1GP2802MEDICAIDSOUTH 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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