Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Palmetto Health - University of South Carolina Medical Group

Organization Pediatric Urology Physician · NPI 1245720747

Palmetto Health - University of South Carolina Medical Group provides Pediatric Urology Physician services in Columbia, South Carolina. Registered with an NPI since 2018.

In the registry since
2018

Practice location Address checks out

9 Richland Medical Park Dr Ste 420
Columbia, SC 29203-6870
Phone: (803) 434-2833
Fax: (803) 434-2834
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Urology Physician (primary) Taxonomy 2088P0231X

Record details

NPI number1245720747
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official William Anderson Iii — Chief Medical Officer · (803) 545-5005
NPI enumeratedMay 10, 2018
Last updated in NPPESMay 10, 2018
Mailing addressPo Box 743904, Atlanta, GA 30374-3904