Pediatric Innovations
NPI #1801878376 in Columbia, South Carolina
Provider Information
- NPI Number
- 1801878376
- Entity Type
- Organization
- Organization Name
- Pediatric Innovations
- Primary Specialty
- Durable Medical Equipment & Medical Supplies - Customized Equipment
- Enumeration Date
- Nov 18, 2005
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 1401 SAINT ANDREWS RD
- Address 2
- SUITE 150
- City
- Columbia
- State
- South Carolina
- ZIP Code
- 29210-5930
- Phone
- (803) 551-1113
Authorized Official
- Name
- MR. MARC HUNTLEY SUDDARTH
- Title
- PRESIDENT
- Phone
- (803) 551-1113
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies - Customized Equipment — Customized Equipment |
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