Blue Ridge Pediatrics LLC
NPI #1104130376 in Seneca, South Carolina
Provider Information
- NPI Number
- 1104130376
- Entity Type
- Organization
- Organization Name
- Blue Ridge Pediatrics LLC
- Primary Specialty
- Clinic/Center - Rural Health
- Enumeration Date
- Jul 30, 2010
- Last Updated
- Jul 30, 2010
Practice Location
- Address
- 457B HIGHWAY 123
- City
- Seneca
- State
- South Carolina
- ZIP Code
- 29678-0842
- Phone
- (864) 888-4464
Authorized Official
- Name
- CAREY MOLIN GULLY, MD
- Title
- OWNER
- Phone
- (864) 888-4464
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Rural Health — Rural Health |
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