Organization · Type 2 NPI

Palmetto Health

Pediatric Surgery Physician · Columbia, SC

NPI number 1003844556 Active

Practice location

9 Richland Medical Park Dr, Suite 500
Columbia, SC 29203-6859

Call (803) 296-7304 Map

Fax (803) 296-7329

Mailing address

PO Box 402145
Atlanta, GA 30384-2145

Specialties and licenses

TaxonomyCodeLicense
Pediatric Surgery Physician Primary 2086S0120XNone listed

Pediatric Surgery Physician: A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.

46 other providers at this address

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About NPI 1003844556

Palmetto Health's National Provider Identifier is 1003844556, issued on Jun 30, 2006. The primary taxonomy on file is Pediatric Surgery Physician (2086S0120X), and the practice location is in Columbia, SC. The record was last updated on Nov 19, 2008.