Palmetto Health - University Of South Carolina Medical Group
LBN: Palmetto Health - University Of South Carolina Medical Group
Palmetto Health - University Of South Carolina Medical Group is an health care organization with primary practice located at 1079 Dutch Fork Rd , Irmo SC 29063-8725. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty.
Palmetto Health - University Of South Carolina Medical Group can be contacted via phone (803) 749-8900, or through Anderson Iii,, William D. via phone (803) 545-5005.
Contact Information
Primary practice address
1079 Dutch Fork Rd
Irmo SC 29063-8725
Phone: (803) 749-8900
Fax:
Website:
Authorized official contact:
Name: Anderson Iii,, William D. Doctor of Medicine (MD)
Phone: (803) 545-5005
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X |
Profile Details
| NPI number | 1033607809 |
|---|---|
| LBN Legal business name | Palmetto Health - University Of South Carolina Medical Group |
| DBA Doing business as | |
| Authorized official | Anderson Iii,, William D. Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 27th, 2018 |
| Last updated | Apr 27th, 2018 - about 7 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1033607809 | NPPES |
| South Carolina | MEDICAID | GP7530 |
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