Georgetown Pediatric Center

NPI 1013334200 - Clinic/Center - 261QR1300X

NPI Details
NPI 1013334200
Enumeration Date 03/25/2014
Last Updated 03/25/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name LEE ANN LEE
Position ADMINSTRATOR
Phone (843) 546-8686
Fax (843) 546-1353
Practice Location
57 JESSAMINE AVE
GEORGETOWN SC, 29440-5837, US
Phone (843) 546-8686
Fax (843) 546-1353
Business Location
PO BOX 618
GEORGETOWN SC, 29442-0618, US
Phone (843) 546-8686
Fax (843) 546-1353
Toxanomy
Taxonomy Code 261QR1300X
License State
License Number
Remove 1013334200 NPI Number
 

According to our database, Georgetown Pediatric Center NPI is 1013334200, taxonomy code is 261QR1300X Georgetown Pediatric Center physically located at 57 Jessamine Ave, Georgetown SC, 29440-5837. NPI Number 1033115704 has the healthcare provider type.

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1013334200 NPI number is provided on an as is basis without warranty of any kind. 1013334200 is maintained by the National Plan & Provider Enumeration System. The contents of Georgetown Pediatric Center are for informational purposes only.