Palmetto Health - University Of South Carolina Medical Group
Pediatric Gastroenterology
Palmetto Health - University Of South Carolina Medical Group is a Columbia, South Carolina based Pediatric center with medical specialization in
Pediatric Gastroenterology.
It is located at
2113 Adams Grv Ste 200, Columbia, South Carolina - 29203-6957. They can be contacted on phone at
803-254-1006 and fax number 803-254-2090.
NPI number (Unique professional ID) for Palmetto Health - University Of South Carolina Medical Group is
1295224871 which was assigned by NPPES on 09 May, 2018 and it was last updated on 09 May, 2018.
Palmetto Health - University Of South Carolina Medical Group specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.
Complete Profile:
Palmetto Health - University Of South Carolina Medical Group basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Gastroenterology |
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| Provider Name : | Palmetto Health - University Of South Carolina Medical Group |
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Business Address:
Palmetto Health - University Of South Carolina Medical Group address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 2113 Adams Grv Ste 200
Columbia, SC, 29203-6957
United States |
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| Phone Number : | 803-254-1006 |
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| Fax Number : | 803-254-2090 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1295224871 |
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| NPI Entity Type : | Organization |
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| First Enrolment Date : | 09 May, 2018 |
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| Last Updated On : | 09 May, 2018 |
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Authorized Official Details:
Officially authorized person to contact for any management issues or complaints of this organization are as below. Person's position and contact details are as mentioned below.
| Authorized Official Name : | Williamd. Anderson Iii, |
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| Official Title or Position : | CHIEF MEDICAL OFFICER |
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| Phone Number : | 803-545-5005 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Palmetto Health - University Of South Carolina Medical Group are as mentioned. Primary taxonomy code for Palmetto Health - University Of South Carolina Medical Group is
2080P0206X (Pediatrics Pediatric Gastroenterology).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 363L00000X | Nurse Practitioner | No | | |
| 363A00000X | Physician Assistant | No | | |
| 2080P0206X | Pediatrics Pediatric Gastroenterology | Yes | | |
Legacy Identifiers:
Other legacy medical identifiers of Palmetto Health - University Of South Carolina Medical Group such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| GP7530 | MEDICAID | SC | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | Po Box 743904
Atlanta, GA, 30374-3904
United States |
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| Phone Number : | 803-296-7320 |
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| Fax Number : | 803-296-7330 |
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Business Location:
Patients can refer following map for directions to
Palmetto Health - University Of South Carolina Medical Group practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.