institution
Pediatric Endocrine Specialty
Medical Specialty Clinic/Center in Columbia, South Carolina
NPI 1013976505

Pediatric Endocrine Specialty is a Medical Specialty Clinic/Center based in Columbia, SC and is specialized in Medical Specialty. Pediatric Endocrine Specialty practices in Columbia, SC. The NPI Number for Pediatric Endocrine Specialty is 1013976505 and holds a License No. 19871 (South Carolina).

The current practice location address for Pediatric Endocrine Specialty is 3000 Ne Medical Park, Columbia, SC and can be reached out via phone at 803-865-6008 and via fax at 803-865-6018.

Location: 3000 Ne Medical Park, Columbia, SC, 29223-6251
institution
Provider Profile Details
NPI Number
1013976505
Provider Name
Pediatric Endocrine Specialty
Credential
Provider Entity Type
Organization
Address
3000 Ne Medical Park, Columbia, SC, 29223-6251
Phone Number
803-865-6008
Fax Number
803-865-6018
Provider Enumeration Date
03/22/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
GP3583 05 SC
19871 01 SC DR. HEIZE'S SC MED LIC #
institution
Provider Business Practice Location Address Details
Address
3000 Ne Medical Park
City
State
Zip
29223-6251
Phone Number
803-865-6008
Fax Number
803-865-6018
person
Provider Business Mailing Address Details
Address
3000 Ne Medical Park
City
State
Zip
29223-6251
Phone Number
803-865-6008
Fax Number
803-865-6018
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
License No.
19871 (South Carolina)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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