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Pediatric Pulmonary Assoc
Specialist in Columbia, South Carolina
NPI 1134172133

Pediatric Pulmonary Assoc is a Specialist based in Columbia, SC. Pediatric Pulmonary Assoc practices in Columbia, SC. The NPI Number for Pediatric Pulmonary Assoc is 1134172133 and holds a License No. 14757 (South Carolina).

The current practice location address for Pediatric Pulmonary Assoc is Suite 210, Columbia, SC and can be reached out via phone at 803-748-1080.

Location: Suite 210, Columbia, SC, 29203-6957
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1134172133
Provider Name
Pediatric Pulmonary Assoc
Credential
Provider Entity Type
Organization
Address
Suite 210, Columbia, SC, 29203-6957
Phone Number
803-748-1080
Fax Number
Provider Enumeration Date
05/18/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
14757 01 SC DR. BROWN'S LICENSE #
GP2540 05 SC
institution
Provider Business Practice Location Address Details
Address
Suite 210
City
Columbia
State
South Carolina
Zip
29203-6957
Phone Number
803-748-1080
Fax Number
person
Provider Business Mailing Address Details
Address
Suite 210
City
Columbia
State
South Carolina
Zip
29203-6957
Phone Number
803-748-1080
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
14757 (South Carolina)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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