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

Dr. Theodore M Dubose V, MD

Individual provider Pediatrics Physician · NPI 1588643027

Dr. Theodore M Dubose V, MD is a Pediatrics Physician in Columbia, 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.

See every abbreviation used in this directory →

Practice location Address checks out

110 Summit Centre Dr
Columbia, SC 29229-7612
Phone: (803) 744-9000
Fax: (803) 462-0312
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 21282 (SC)

Record details

NPI number1588643027
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 12, 2006
Last updated in NPPESJuly 15, 2019

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