Organization
PROVIDENCE PULMONARY SPECIALISTS, LLC
Active
Other names
Midlands Pulmonary, Critical Care & Sleep Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
SHAWN PATTON (CONTROLLER)
(803) 865-4850
Entity
Organization
Contact information
Practice address
1655 BERNARDIN AVE, SUITE 350, COLUMBIA, SC 29204-2039
(803) 256-7575
(803) 256-7573
Mailing address
1655 BERNARDIN AVE, SUITE 350, COLUMBIA, SC 29204-2039
(803) 256-7575
(803) 256-7573
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
—
—
207RP1001X
Pulmonary Disease Physician
Primary
—
—
207RS0012X
Sleep Medicine (Internal Medicine) Physician
—
—
Other
Enumeration date
06/08/2010
Last updated
06/08/2010
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