Organization
UNIVERSITY PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM D. ANDERSON III M.D. (CMO)
(803) 434-7950
Entity
Organization
Contact information
Practice address
9 MEDICAL PARK, SUITE 200A, COLUMBIA, SC 29203-6859
(803) 434-7950
(803) 434-8606
Mailing address
15 MEDICAL PARK, SUITE 300, COLUMBIA, SC 29203-6843
(803) 545-5022
(803) 256-0977
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DEC100
—
SC
05
—
GP0219
—
SC
Enumeration date
06/14/2006
Last updated
12/11/2014
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