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Jason Russell Peck, MD
Pediatric Critical Care Medicine Physician in Columbia, South Carolina
NPI 1235290693

Jason Russell Peck is a Pediatric Critical Care Medicine Physician based in Atlanta, SC and is specialized in Pediatric Critical Care Medicine. Jason Russell Peck practices in Columbia, SC and has the professional credentials of MD. The NPI Number for Jason Russell Peck is 1235290693 and holds a License No. 33116 (South Carolina).

The current practice location address for Jason Russell Peck is 9 Richland Medical Park Dr Ste 530, Columbia, SC and can be reached out via phone at 803-434-4603 and via fax at 803-434-3866. You can also correspond with Jason Russell Peck through the mailing address at PO BOX 743904, ATLANTA, GA - 30374-3904 (mailing address contact number: 803-269-7320).

Location: 9 Richland Medical Park Dr Ste 530, Columbia, SC, 30374-3904
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1235290693
Provider Name
Jason Russell Peck
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
9 Richland Medical Park Dr Ste 530, Columbia, SC, 30374-3904
Phone Number
803-434-4603
Fax Number
803-434-3866
Provider Enumeration Date
12/12/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
31162 05 SC
institution
Provider Business Practice Location Address Details
Address
9 Richland Medical Park Dr Ste 530
City
Columbia
State
South Carolina
Zip
29203-6870
Phone Number
803-434-4603
Fax Number
803-434-3866
person
Provider Business Mailing Address Details
Address
Po Box 743904
City
Atlanta
State
Georgia
Zip
30374-3904
Phone Number
803-269-7320
Fax Number
803-296-7330
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
-
Taxonomy
208000000X
License No.
L8471 (Texas)
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
Pediatric Critical Care Medicine
Taxonomy
2080P0203X
License No.
33116 (South Carolina)
Definition
A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
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