Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Richard Siddall Pennebaker, MD

Individual provider Pediatrics Physician · NPI 1356399604

Dr. Richard Siddall Pennebaker, MD is a Pediatrics Physician in Greenville, South Carolina. Licensed in South Carolina. Registered with an NPI since 2006.

Licensed in
SC
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

57 Cross Park Ct
Greenville, SC 29605-4264
Phone: (864) 797-6044
Fax: (864) 797-6198
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 12799 (SC)

Record details

NPI number1356399604
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 5, 2006
Last updated in NPPESSeptember 14, 2011

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