institution
Palmetto Pediatric Gastroenterology
Medical Specialty Clinic/Center in Columbia, South Carolina
NPI 1558320275

Palmetto Pediatric Gastroenterology is a Medical Specialty Clinic/Center based in Columbia, SC and is specialized in Medical Specialty. Palmetto Pediatric Gastroenterology practices in Columbia, SC. The NPI Number for Palmetto Pediatric Gastroenterology is 1558320275 and holds a License No. 14383 (South Carolina).

The current practice location address for Palmetto Pediatric Gastroenterology is 2113 Adams Grv, Columbia, SC and can be reached out via phone at 803-254-1006 and via fax at 803-254-2090.

Location: 2113 Adams Grv, Columbia, SC, 29203-7102
institution
Provider Profile Details
NPI Number
1558320275
Provider Name
Palmetto Pediatric Gastroenterology
Credential
Provider Entity Type
Organization
Address
2113 Adams Grv, Columbia, SC, 29203-7102
Phone Number
803-254-1006
Fax Number
803-254-2090
Provider Enumeration Date
03/21/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
GP3080 05 SC
institution
Provider Business Practice Location Address Details
Address
2113 Adams Grv
City
State
Zip
29203-7102
Phone Number
803-254-1006
Fax Number
803-254-2090
person
Provider Business Mailing Address Details
Address
2113 Adams Grv
City
State
Zip
29203-7102
Phone Number
803-254-1006
Fax Number
803-254-2090
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
License No.
14383 (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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