institution
Palmetto Health - University Of South Carolina Medical Group
Pediatric Surgery Physician in Columbia, South Carolina
NPI 1154811651

Palmetto Health - University Of South Carolina Medical Group is a Pediatric Surgery Physician based in Atlanta, SC and is specialized in Pediatric Surgery. Palmetto Health - University Of South Carolina Medical Group practices in Columbia, SC. The NPI Number for Palmetto Health - University Of South Carolina Medical Group is 1154811651 and holds a License No. (South Carolina).

The current practice location address for Palmetto Health - University Of South Carolina Medical Group is 9 Richland Medical Park Dr Ste 500, Columbia, SC and can be reached out via phone at 803-434-4555 and via fax at 803-434-4599.

Location: 9 Richland Medical Park Dr Ste 500, Columbia, SC, 30374-3904
institution
Provider Profile Details
NPI Number
1154811651
Provider Name
Palmetto Health - University Of South Carolina Medical Group
Credential
Provider Entity Type
Organization
Address
9 Richland Medical Park Dr Ste 500, Columbia, SC, 30374-3904
Phone Number
803-434-4555
Fax Number
803-434-4599
Provider Enumeration Date
05/10/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
GP7530 05 SC
institution
Provider Business Practice Location Address Details
Address
9 Richland Medical Park Dr Ste 500
City
State
Zip
29203-6870
Phone Number
803-434-4555
Fax Number
803-434-4599
person
Provider Business Mailing Address Details
Address
9 Richland Medical Park Dr Ste 500
City
State
Zip
29203-6870
Phone Number
803-434-4555
Fax Number
803-434-4599
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Pediatric Surgery
Taxonomy
License No.
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Definition
A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.
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