Jason Russell Peck
Pediatrician Pediatric Critical Care Doctor
9 Richland Medical Park Dr Ste 530
Columbia
, South Carolina 29203-6870
Jason Russell Peck
Pediatrician Pediatric Critical Care Doctor
9 Richland Medical Park Dr Ste 530
Columbia
, South Carolina 29203-6870
(803) 296-7330
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About
Features
Specialties
- Pediatrician
- Pediatric Critical Care Doctor
Languages spoken
- English
Location
First Address
- Jason Russell Peck
- Po Box 743904
- Atlanta, GA
- Zip : 30374-3904
- Fax : (803) 296-7330
- Phone : (803) 269-7320
Second Address
- Jason Russell Peck
- 9 Richland Medical Park Dr Ste 530
- Columbia, SC
- Zip : 29203-6870
- Fax : (803) 434-3866
- Phone : (803) 434-4603
Reviews
FAQs
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Is Jason Russell Peck board certified?
What type of doctor is Jason Russell Peck
In what state does Jason Russell Peck practice in?
Where is Jason Russell Peck ’s practice located?
What is Jason Russell Peck ’s gender?
Is Jason Russell Peck a sole practitioner?
Is Jason Russell Peck accepting new patients?
What languages does Jason Russell Peck speak?
Does Jason Russell Peck accept insurance?
Does Jason Russell Peck offers telemedicine?
What is Jason Russell Peck ’s professional license number?
What is Jason Russell Peck ’s NPI number?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 208000000X | Pediatrician | 33116 | SC |
| N | 208000000X | Pediatrician | L8471 | TX |
| Y | 2080P0203X | Pediatric Critical Care Doctor | 33116 | SC |
| N | 2080P0203X | Pediatric Critical Care Doctor | 45451 | CO |
National Provider Identifier
| NPI | 1235290693 |
|---|---|
| Provider Name | Jason Russell Peck |
| First Address | Atlanta, GA 30374-3904 |
| Second Address | Columbia, SC 29203-6870 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 12/12/2006 |
| Last Update Date | 23/03/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 31162 | (05) | SC |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.