Sallie I Prugh is a Pediatrics in Columbia, South Carolina. Sallie I Prugh practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Sallie I Prugh is 1720017395. The last update date is 2007-12-17.
Sallie I Prugh's current location address is 9 Medical Park Rd, Columbia, South Carolina. You can contact this provider via phone number 8034347950 and fax number 8034348606. The mailing address for Sallie I Prugh is 9 Medical Park Rd, Columbia, South Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Sallie I Prugh |
|---|---|
| Address | 9 Medical Park Rd, Columbia, South Carolina |
| Phone Number | 8034347950 |
| Fax Number | 8034348606 |
| Sole Proprietor | N |
| Credentials | CPNP |
NPI Number Detail
| NPI Number | 1720017395 |
|---|---|
| Provider Enumeration Date | 2006-07-03 |
| Last Updated Date | 2007-12-17 |
Provider Mailing Address Detail
| Address | 9 Medical Park Rd |
|---|---|
| City | Columbia |
| State | South Carolina (SC) |
| Post Code | 292038003 |
| Phone Number | 8034347950 |
| Fax Number | 8034348606 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 363Lp0200X |
| Licence No | APN2421 |
|
Definition: An advanced practice registered nurse expert in providing care to infants, children and adolescents. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| NP0311 | SC | -- |
Post Comment/ Review Below
What is the Sallie I Prugh's 1720017395?
The Sallie I Prugh's NPI (National Provider Identifier) Number is 1720017395. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Sallie I Prugh's physical address?
The Sallie I Prugh is physically located at 9 Medical Park Rd, in the city of Columbia, SC, with the postal code 292038003.
What is the Sallie I Prugh's area of specialization and corresponding taxonomy classification?
The Sallie I Prugh's specialty field is Pediatrics, and it falls under the taxonomy code 363Lp0200X, which categorizes healthcare providers based on their specialties.
On what date did Sallie I Prugh receive its 1720017395 assignment from the Centers for Medicare & Medicaid Services?
The Sallie I Prugh was assigned its 1720017395 on 2006-07-03, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Sallie I Prugh, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Sallie I Prugh, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-12-17.
NPI Number: 1972506228
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