Edisto Multispecialty Associates INC

NPI #1144219726 in Walterboro, South Carolina

Provider Information

NPI Number: 1144219726
Entity Type: Organization
Organization Name: Edisto Multispecialty Associates INC
Primary Specialty: Pediatrics
Enumeration Date: Oct 17, 2005
Last Updated: Aug 29, 2007

Practice Location

Address: 302 MEDICAL PARK DR
Address 2: SUITE 211
City: Walterboro
State: South Carolina
ZIP Code: 29488-5747
Phone: (843) 549-0787

Authorized Official

Name: MR. ROBERT ENGLAND
Title: COORDINATOR
Phone: (800) 661-3365

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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