PALMETTO HEALTH - UNIVERSITY OF SOUTH CAROLINA MEDICAL GROUP NPI 1154811651

NPI Information

  • NPI: 1154811651
  • Provider Name: PALMETTO HEALTH - UNIVERSITY OF SOUTH CAROLINA MEDICAL GROUP
  • Classification: Surgery - 2086S0120X
  • Specialization: Pediatric Surgery
  • Entity Type: Organization
  • Address: 9 RICHLAND MEDICAL PARK DR STE 500
    COLUMBIA, SC
    ZIP 29203
  • Phone: (803) 434-4555

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NPI Details

PALMETTO HEALTH - UNIVERSITY OF SOUTH CAROLINA MEDICAL GROUP is a pediatric surgery surgery in Columbia, SC. The provider is a surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. PALMETTO HEALTH - UNIVERSITY OF SOUTH CAROLINA MEDICAL GROUP NPI is 1154811651. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

9 RICHLAND MEDICAL PARK DR STE 500
COLUMBIA, SC
ZIP 29203-870
Phone: (803) 434-4555
Fax: (803) 434-4599

The provider's authorized official is William D. Anderson Iii, .
The authorized official title is Chief Medical Officer and has the following contact phone number (803) 545-5005.

The enumeration date for this NPI number is 5/10/2018 and was last updated on 5/10/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12086S0120XSurgeryPediatric SurgeryYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1GP7530MEDICAIDSOUTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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