DR. RICHARD SIDDALL PENNEBAKER M.D. NPI 1356399604

NPI Information

DR. Richard Siddall Pennebaker, M.D. is a pediatrics in Greenville, 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. DR. Richard Siddall Pennebaker, M.D. NPI is 1356399604. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

57 CROSS PARK COURT
GREENVILLE, SC
ZIP 29605-264
Phone: (864) 797-6044
Fax: (864) 797-6198

The enumeration date for this NPI number is 5/5/2006 and was last updated on 9/14/2011.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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