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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1508897109 | NPPES |
| South Carolina | MEDICAID | GP0671 | |
| South Carolina | MEDICAID | 5906681 |
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