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PALMETTO HEALTH NPI 1891147062


NPI Information

NPI: 1891147062
Provider Name: PALMETTO HEALTH

Doing Business As: PEDIATRIC RHEUMATOLOGY

Classification: Pediatrics - 2080P0216X
Entity Type: Organization

Specialization: Pediatric Rheumatology

CLIA Number: 42D1070628

Address:
7 RICHLAND MEDICAL PARK DR
SUITE 7200
COLUMBIA, SC
ZIP 29203
Phone: (803) 434-2325
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PALMETTO HEALTH is a pediatric rheumatology pediatrics in Columbia, SC. The provider is a pediatrician who treats diseases of joints, muscle, bones and tendons. A pediatric rheumatologist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases. PALMETTO HEALTH NPI is 1891147062. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Pediatric Rheumatology.

The provider's business location address is:

7 RICHLAND MEDICAL PARK DR
SUITE 7200
COLUMBIA, SC
ZIP 29203-863
Phone: (803) 434-2325
Fax: (803) 434-7379

The provider's authorized official is Darrell Coven .
The authorized official title is Director, Ambulatory Services Finan and has the following contact phone number (803) 296-7301.

The CLIA number assigned to this NPI record is 42D1070628 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/12/2016 and was last updated on 7/12/2016.


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
12080P0216XPediatricsPediatric RheumatologyYes

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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