Pediatric Pulmonary Assoc

LBN: Pediatric Pulmonary Assoc
Pediatric Pulmonary Assoc is an health care organization with primary practice located at Suite 210 2113 Adams Grove Road, Columbia SC 29203-6957. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Pediatric Pulmonary Assoc can be contacted via phone (803) 748-1080, or through Brown, Daniel via phone (803) 748-7555.

Contact Information

Primary practice address
Suite 210 2113 Adams Grove Road Columbia SC 29203-6957
Fax:
Website:
Authorized official contact:
Name: Brown, Daniel Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 14757 South Carolina

Profile Details

NPI number 1134172133
LBN Legal business name Pediatric Pulmonary Assoc
DBA Doing business as
Authorized official Brown, Daniel Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 18th, 2006
Last updated Apr 20th, 2008 - about 17 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 1134172133 NPPES
South Carolina Other 14757 DR. BROWN'S LICENSE #
South Carolina MEDICAID GP2540 DR. BROWN'S LICENSE #

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