Organization
PEDIATRIC PULMONARY ASSOC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL BROWN MD (PHYSICIAN)
(803) 748-7555
Entity
Organization
Contact information
Practice address
SUITE 210, 2113 ADAMS GROVE ROAD, COLUMBIA, SC 29203-6957
(803) 748-1080
Mailing address
SUITE 210, 2113 ADAMS GROVE ROAD, COLUMBIA, SC 29203-6957
(803) 748-1080
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
14757
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14757
DR. BROWN'S LICENSE #
SC
05
—
GP2540
—
SC
Enumeration date
05/18/2006
Last updated
04/20/2008
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