Northeast Medical Specialists
Allergy & Immunology in Columbia, SC. Organization (NPI-2).
NPI number1811969918
StatusActive
Last updated in NPPESSep 11, 2025
Details
- NPI
- 1811969918
- Entity type
- Organization (NPI-2)
- Legal business name
- Northeast Medical Specialists
- Organization subpart
- No
- Enumeration date
- Feb 2, 2006
- Last updated
- Sep 11, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207K00000X | Allergy & Immunology | 15941 | SC | Yes |
| 208000000X | Pediatrics | 15941 | SC |
Practice location
1401 Calhoun StColumbia, SC 29201
Phone 803-400-1201 · Fax 803-400-1204
Mailing address
1401 Calhoun StColumbia, SC 29201
Phone 803-400-1201 · Fax 803-400-1204
Authorized official
Tanya Elaine Reid
Owner
8034001201
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