Jason Russell Peck in Columbia - Pediatrics
Jason Russell Peck - NPI 1235290693
Jason Russell Peck is a Pediatrics in Columbia, South Carolina. Jason Russell Peck practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Jason Russell Peck is 1235290693. The last update date is 2018-03-23.
Jason Russell Peck's current location address is 9 Richland Medical Park Dr Ste 530, Columbia, South Carolina. You can contact this provider via phone number 8034344603 and fax number 8034343866. The mailing address for Jason Russell Peck is 9 Richland Medical Park Dr Ste 530, Columbia, South Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jason Russell Peck |
|---|---|
| Address | 9 Richland Medical Park Dr Ste 530, Columbia, South Carolina |
| Phone Number | 8034344603 |
| Fax Number | 8034343866 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1235290693 |
|---|---|
| Provider Enumeration Date | 2006-12-12 |
| Last Updated Date | 2018-03-23 |
Provider Mailing Address Detail
| Address | 9 Richland Medical Park Dr Ste 530 |
|---|---|
| City | Columbia |
| State | South Carolina (SC) |
| Post Code | 292036870 |
| Phone Number | 8034344603 |
| Fax Number | 8034343866 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 208000000X |
| Licence No | 33116 |
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Definition: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 31162 | SC | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Jason Russell Peck by the Centers for Medicare & Medicaid Services?
The Jason Russell Peck has been assigned the NPI (National Provider Identifier) 1235290693. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Jason Russell Peck is physically located?
The Jason Russell Peck is situated at the following address: 9 Richland Medical Park Dr Ste 530, Columbia, SC 292036870.
What is Jason Russell Peck's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Jason Russell Peck is Pediatrics, and the taxonomy code that classifies this field of practice is 208000000X.
On what date was the 1235290693 assigned to Jason Russell Peck?
The Jason Russell Peck was issued its 1235290693 on 2006-12-12, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Jason Russell Peck most recently updated or refreshed?
The details pertaining to the Jason Russell Peck, including its address, specialty, and other relevant information, were last updated or refreshed on 2018-03-23.