Organization
PALMETTO PEDIATRIC GASTROENTEROLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RATHNA P. AMARNATH M. D. (PHYSICIAN)
(803) 254-1006
Entity
Organization
Contact information
Practice address
2113 ADAMS GRV, SUITE 200, COLUMBIA, SC 29203-7102
(803) 254-1006
(803) 254-2090
Mailing address
2113 ADAMS GRV, SUITE 200, COLUMBIA, SC 29203-7102
(803) 254-1006
(803) 254-2090
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
14383
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP3080
—
SC
Enumeration date
03/21/2006
Last updated
05/27/2008
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