PALMETTO PEDIATRICS - NPI 1508897109 - Pediatrics in Rock Hill, SC

Q: What is Palmetto Pediatrics's NPI number?

The NPI number for Palmetto Pediatrics is 1508897109. It was assigned to this organization in the NPPES registry on July 5, 2006.

Q: What is Palmetto Pediatrics's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

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About Palmetto Pediatrics NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PALMETTO PEDIATRICS (NPI 1508897109) is a healthcare organization registered as a pediatrics in Rock Hill, South Carolina and active in the NPI registry since July 2006. The organization lists Daniel L. Wiens, Senior Vice President, as its authorized official.

NPPES Registry Identity

NPI1508897109

Entity TypeOrganization

Primary Taxonomy208000000X

Legal Business NamePALMETTO PEDIATRICS

Location Address2450 INDIA HOOK RD, SUITE ARock Hill, SC 29732-3270

Mailing AddressPo Box 60099Charlotte, NC 28260-0099 · (803) 327-5772 · Fax (803) 327-9303

Phone(803) 327-5772

Fax(803) 327-9303

Organization SubpartNo

Authorized OfficialDaniel L. WiensSenior Vice President · (704) 355-0648

Enumeration DateJuly 5, 2006

Last NPPES UpdateApril 25, 2013

✔ NPI 1508897109 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

2450 INDIA HOOK RD, Rock Hill, SC 29732

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Other Identifiers 2

MedicaidGP0671SC

Medicaid5906681NC

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KENYATE BRADLEY AGNP-C

Nurse Practitioner