| Palmetto Health - University Of South Carolina Medical Group | |
|
9 Richland Medical Park Dr Ste 505 Columbia SC 29203-6844 | |
| (803) 434-2505 | |
| (803) 434-2181 |
| Full Name | Palmetto Health - University Of South Carolina Medical Group |
|---|---|
| Speciality | Pediatrics - Pediatric Pulmonology |
| Location | 9 Richland Medical Park Dr Ste 505, Columbia, South Carolina |
| Authorized Official Name and Position | William D. Anderson Iii, (CHIEF MEDICAL OFFICER) |
| Authorized Official Contact | 8035455005 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Palmetto Health - University Of South Carolina Medical Group Po Box 743904 Atlanta GA 30374-3904 Ph: (803) 296-7320 | Palmetto Health - University Of South Carolina Medical Group 9 Richland Medical Park Dr Ste 505 Columbia SC 29203-6844 Ph: (803) 434-2505 |
| NPI Number | 1194214775 |
|---|---|
| Provider Enumeration Date | 05/09/2018 |
| Last Update Date | 05/09/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194214775 | NPI | - | NPPES |
| GP7530 | Medicaid | SC |
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