Organization · Type 2 NPI

Palmetto Health - University of South Carolina Medical Group

Pediatric Surgery Physician · Columbia, SC

NPI number 1154811651 Active

Practice location

9 Richland Medical Park Dr Ste 500
Columbia, SC 29203-6870

Call (803) 434-4555 Map

Fax (803) 434-4599

Mailing address

PO Box 743904
Atlanta, GA 30374-3904

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.

12 other providers at this address

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About NPI 1154811651

Palmetto Health - University of South Carolina Medical Group's National Provider Identifier is 1154811651, issued on May 10, 2018. The primary taxonomy on file is Pediatric Surgery Physician (2086S0120X), and the practice location is in Columbia, SC. The record was last updated on May 10, 2018.