Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | SC7546 | SC |
NPI | 1003099185 |
---|---|
Provider Name | Dr. Robert Henry Belding SR. |
First Address | Columbia, SC 29206-2111 |
Second Address | Columbia, SC 29206-2111 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/12/2007 |
Last Update Date | 11/12/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
75466 | (05) | SC |
D90772 | (02) | SC |