| NPI Details | |
|---|---|
| NPI | 1063635571 |
| Enumeration Date | 04/11/2007 |
| Last Updated | 07/08/2007 |
| Entity Type | Healthcare Provider |
| Active | Over 11 years ago |
| Authorized Information | |
|---|---|
| Name | AGNES S AGNES |
| Position | OWNER |
| Phone | (843) 537-1811 |
| Fax | |
| Practice Location | |
|---|---|
| 715 S DOCTORS DR SUITE E CHERAW SC, 29520-7113, US |
|
| Phone | (843) 537-1811 |
| Fax | |
| Business Location | |
|---|---|
| 715 S DOCTORS DR SUITE E CHERAW SC, 29520-7113, US |
|
| Phone | (843) 537-1811 |
| Fax | |
| Toxanomy | |
|---|---|
| Taxonomy Code | 208000000X |
| License State | South Carolina |
| License Number | 17373 |
| Remove 1063635571 NPI Number | |
According to our database, Cheraw Pediatrics, P.a. NPI is 1063635571, taxonomy code is 208000000X and license number is 17373, license state is located at South Carolina. Cheraw Pediatrics, P.a. physically located at 715 S Doctors Dr, Cheraw SC, 29520-7113. NPI Number 1033115704 has the healthcare provider type.
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1063635571 NPI number is provided on an as is basis without warranty of any kind. 1063635571 is maintained by the National Plan & Provider Enumeration System. The contents of Cheraw Pediatrics, P.a. are for informational purposes only.
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