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Palmetto Pediatrics Of Conway
Specialist in Conway, South Carolina
NPI 1962481531

Palmetto Pediatrics Of Conway is a Specialist based in Conway, SC. Palmetto Pediatrics Of Conway practices in Conway, SC. The NPI Number for Palmetto Pediatrics Of Conway is 1962481531 and holds a License No. 22576 (South Carolina).

The current practice location address for Palmetto Pediatrics Of Conway is 171 Waccamaw Medical Park Ct, Conway, SC and can be reached out via phone at 843-234-5678 and via fax at 843-234-4567.

Location: 171 Waccamaw Medical Park Ct, Conway, SC, 29526-8965
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1962481531
Provider Name
Palmetto Pediatrics Of Conway
Credential
Provider Entity Type
Organization
Address
171 Waccamaw Medical Park Ct, Conway, SC, 29526-8965
Phone Number
843-234-5678
Fax Number
843-234-4567
Provider Enumeration Date
01/12/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
GP4121 05 SC
institution
Provider Business Practice Location Address Details
Address
171 Waccamaw Medical Park Ct
City
Conway
State
South Carolina
Zip
29526-8965
Phone Number
843-234-5678
Fax Number
843-234-4567
person
Provider Business Mailing Address Details
Address
171 Waccamaw Medical Park Ct
City
Conway
State
South Carolina
Zip
29526-8965
Phone Number
843-234-5678
Fax Number
843-234-4567
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
22576 (South Carolina)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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