Healthcare Provider Details

I. General information

NPI: 1285723593
Provider Name (Legal Business Name): CAROLINA ALLERGY & ASTHMA CONSULTANTS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/12/2006
Last Update Date: 08/12/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

ONE RICHLAND MEDICAL PARK SUITE 200
COLUMBIA SC
29203
US

IV. Provider business mailing address

ONE RICHLAND MEDICAL PARK SUITE 200
COLUMBIA SC
29203
US

V. Phone/Fax

Practice location:
  • Phone: 803-765-9233
  • Fax: 803-779-0344
Mailing address:
  • Phone: 803-765-9233
  • Fax: 803-779-0344

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207K00000X
TaxonomyAllergy & Immunology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. DAVID PERRICK
Title or Position: PARTNER
Credential: MD
Phone: 803-765-9233