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Organization

SOUTHEASTERN EAR NOSE THROAT ALLERGY AND SLEEP DISORDERS INSTITUTE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CHAD B GUNNLAUGSSON MD (OWNER)
(803) 509-7200
Entity
Organization

Contact information

Practice address
1040 PINNACLE POINT DR, COLUMBIA, SC 29223-5735
(803) 509-7200
(803) 509-7213
Mailing address
1040 PINNACLE POINT DR, COLUMBIA, SC 29223-5735
(803) 509-7200
(803) 509-7213

Taxonomy

Speciality
Code
Description
License number
State
207YS0012X
Sleep Medicine (Otolaryngology) Physician
28760
SC
207YS0123X
Facial Plastic Surgery Physician
28760
SC
207YX0602X
Otolaryngic Allergy Physician
Primary
28760
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
GP5437
SC
Enumeration date
04/20/2010
Last updated
03/07/2023
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