Columbia Nephrology Associates Pa

LBN: Columbia Nephrology Associates Pa
Columbia Nephrology Associates Pa is an health care organization with primary practice located at 121 Park Central Dr 200, Columbia SC 29203-6469. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Columbia Nephrology Associates Pa can be contacted via phone (803) 252-9907, or through Shealy, Carl B via phone (803) 252-9907.

Contact Information

Primary practice address
121 Park Central Dr 200 Columbia SC 29203-6469
Phone: (803) 252-9907
Fax: (803) 252-9906
Website:
Map and Directions
Authorized official contact:
Name: Shealy, Carl B Doctor of Medicine (MD)
Phone: (803) 252-9907

Health care specialties

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

Profile Details

NPI number 1407821721
LBN Legal business name Columbia Nephrology Associates Pa
DBA Doing business as
Authorized official Shealy, Carl B Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 21st, 2006
Last updated Dec 11th, 2018 - about 8 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1407821721 NPPES
South Carolina MEDICAID PA2773

Popular Providers