Organization
UNIVERSITY PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
R. CAUGHMAN TAYLOR M.D. (CHAIR)
(803) 434-7950
Entity
Organization
Contact information
Practice address
8301 FARROW RD, COLUMBIA, SC 29203-3245
(803) 935-5604
(803) 935-5380
Mailing address
15 MEDICAL PARK, SUITE 300, COLUMBIA, SC 29203-6843
(803) 255-3410
(803) 256-0977
Taxonomy
Speciality
Code
Description
License number
State
2080P0006X
Developmental - Behavioral Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DRC001
—
SC
Enumeration date
06/15/2006
Last updated
09/15/2009
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