OrganizationActive
Palmetto Health - University of South Carolina Medical Group
NPI 1194214775 · Pediatric Pulmonology Physician · Columbia, SC
Provider details
- NPI number
- 1194214775
- Entity type
- Organization
- Primary specialty
- Pediatric Pulmonology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- William Anderson III,, Chief Medical Officer(803) 545-5005
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Social Worker104100000X
Behavioral Health & Social Service Providers
- Pediatric Nutrition Registered Dietitian133VN1004X
Dietary & Nutritional Service Providers
- Physician Assistant363A00000X
Physician Assistants & Advanced Practice Nursing Providers
Practice location
9 Richland Medical Park Dr Ste 505
Columbia, SC 29203-6844
Phone: (803) 434-2505
Fax: (803) 434-2181
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 743904
Atlanta, GA 30374-3904
Registry dates
- Enumerated
- 2018-05-09
- Last updated
- 2018-05-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.