Ridge Pediatrics and Adolescent Center
NPI #1013114818 in Leesville, South Carolina
Provider Information
- NPI Number
- 1013114818
- Entity Type
- Organization
- Organization Name
- Ridge Pediatrics and Adolescent Center
- Primary Specialty
- Specialist
- Enumeration Date
- Jun 27, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 338 E COLUMBIA AVE
- Address 2
- SUITE E
- City
- Leesville
- State
- South Carolina
- ZIP Code
- 29070-9285
- Phone
- (803) 532-2877
Authorized Official
- Name
- MRS. LINDA DELOACH
- Title
- OFFICE MANAGER
- Phone
- (803) 532-2877
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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