Palmetto Pediatrics

LBN: Palmetto Pediatrics
Palmetto Pediatrics is an health care organization with primary practice located at 2450 India Hook Rd Suite A, Rock Hill SC 29732-3270. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Palmetto Pediatrics can be contacted via phone (803) 327-5772, or through Wiens, Daniel L. via phone (704) 355-0648.

Contact Information

Primary practice address
2450 India Hook Rd Suite A Rock Hill SC 29732-3270
Phone: (803) 327-5772
Fax: (803) 327-9303
Website:
Map and Directions
Authorized official contact:
Name: Wiens, Daniel L.
Phone: (704) 355-0648

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X

Profile Details

NPI number 1508897109
LBN Legal business name Palmetto Pediatrics
DBA Doing business as
Authorized official Wiens, Daniel L.
Entity Organization
Organization subpart 1 No
Enumeration date Jul 5th, 2006
Last updated Apr 25th, 2013 - about 13 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 1508897109 NPPES
South Carolina MEDICAID GP0671
South Carolina MEDICAID 5906681

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