Piedmont Pediatrics Of Laurens

NPI 1083652630 - Pediatrics - 208000000X

NPI Details
NPI 1083652630
Enumeration Date 06/04/2006
Last Updated 07/10/2014
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name SALLY ELAINE SALLY
Position OWNER PARTNER
Phone (864) 833-5654
Fax (864) 833-2786
Practice Location
996 MEDICAL RIDGE ROAD
CLINTON SC, 29325, US
Phone (864) 833-5654
Fax (864) 833-2786
Business Location
996 MEDICAL RIDGE ROAD
CLINTON SC, 29325, US
Phone (864) 833-5654
Fax (864) 833-2786
Toxanomy
Taxonomy Code 208000000X
License State South Carolina
License Number 229522
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According to our database, Piedmont Pediatrics Of Laurens NPI is 1083652630, taxonomy code is 208000000X and license number is 229522, license state is located at South Carolina. Piedmont Pediatrics Of Laurens physically located at 996 Medical Ridge Road, Clinton SC, 29325. NPI Number 1033115704 has the healthcare provider type.

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1083652630 NPI number is provided on an as is basis without warranty of any kind. 1083652630 is maintained by the National Plan & Provider Enumeration System. The contents of Piedmont Pediatrics Of Laurens are for informational purposes only.