Dr. Richard Siddall Pennebaker
M.D. | Pediatrics | Male
Dr. Richard Siddall Pennebaker, M.D. is a Greenville, South Carolina based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Dr. Richard Siddall Pennebaker is
57 Cross Park Court, Greenville, South Carolina - 29605-4264. He can be contacted on phone at
864-797-6044 and fax number 864-797-6198.
Dr. Richard Siddall Pennebaker is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Richard Siddall Pennebaker is
1356399604 which was assigned by NPPES on 05 May, 2006 and it was last updated on 14 Sep, 2011.
Dr. Richard Siddall Pennebaker license number is
12799 for Pediatrics (208000000X) in South Carolina.
Dr. Richard Siddall Pennebaker is a pediatrician who 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.
Complete Profile:
Dr. Richard Siddall Pennebaker basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Dr. Richard Siddall Pennebaker |
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| Credential : | M.D. |
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| Gender : | Male |
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Business Address:
Dr. Richard Siddall Pennebaker 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 : | 57 Cross Park Court
Greenville, SC, 29605-4264
United States |
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| Phone Number : | 864-797-6044 |
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| Fax Number : | 864-797-6198 |
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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 : | 1356399604 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 05 May, 2006 |
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| Last Updated On : | 14 Sep, 2011 |
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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 Dr. Richard Siddall Pennebaker are as mentioned. Primary taxonomy code for Dr. Richard Siddall Pennebaker, M.D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 12799 | SC |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Richard Siddall Pennebaker such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| TL5018 | 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 : | One Independence Pointe, Suite 212
Greenville, SC, 29615-4566
United States |
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| Phone Number : | 864-797-6044 |
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| Fax Number : | 864-797-6198 |
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Business Location:
Patients can refer following map for directions to
Dr. Richard Siddall Pennebaker 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.