Cheraw Pediatrics, P.a.

NPI 1063635571 - Pediatrics - 208000000X

NPI Details
NPI 1063635571
Enumeration Date 04/11/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 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
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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.