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 9 Richland Medical Park Dr Ste 110 , Columbia SC 29203-6859. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology is the primary health care specialty. Palmetto Health - University Of South Carolina Medical Group can be contacted via phone (803) 434-7961, or through Anderson Iii,, William D. via phone (803) 545-5005.

Contact Information

Primary practice address
9 Richland Medical Park Dr Ste 110 Columbia SC 29203-6859
Phone: (803) 434-7961
Fax: (803) 434-7981
Website:
Map and Directions
Authorized official contact:
Name: Anderson Iii,, William D.
Phone: (803) 545-5005

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology 2084N0402X
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X

Profile Details

NPI number 1912496597
LBN Legal business name Palmetto Health - University Of South Carolina Medical Group
DBA Doing business as
Authorized official Anderson Iii,, William D.
Entity Organization
Organization subpart 1 No
Enumeration date May 9th, 2018
Last updated May 9th, 2018 - about 6 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912496597 NPPES
South Carolina MEDICAID GP7530

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