PEDIATRIC ENDOCRINE SPECIALTY
Ambulatory Health at Medical Park, Columbia, SC

License number
South Carolina 19871
Category
Ambulatory Health
Type
Medical Specialty
Owner
Name: DR. HOWARD J. HEIZE M. D.
Title: PHYSICIAN
Phone: (803) 865-6008
Address
Address
3000 NE Medical Park SUITE 212, Columbia, SC 29223
National Provider ID: 1013976505
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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PEDIATRIC ENDOCRINE SPECIALTY CARE, PA

Columbia, SC

Status:
Inactive
Industry:
Medical Doctor's Office
Registration:
Oct 24, 2002
Addresses:
3000 NE Medical Park, Columbia, SC 29223 (Physical)
3000 NE Med Park, Columbia, SC 29223
Business type:
Domestic
Formation place:
SOUTH CAROLINA
Expiration:
08/14/2007
Medical Doctor:
Howard J. Heize (Medical Doctor)
Agent:
Md Howard J Heinze

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