Carolina Pediatric

NPI #1326305210 in Ridgeville, South Carolina

Provider Information

NPI Number: 1326305210
Entity Type: Organization
Organization Name: Carolina Pediatric
Primary Specialty: Pediatrics
Enumeration Date: Apr 16, 2012
Last Updated: Apr 16, 2012

Practice Location

Address: 105 SCHOOL ST
Address 2: 3
City: Ridgeville
State: South Carolina
ZIP Code: 29472-8040
Phone: (843) 364-1363

Authorized Official

Name: MS. ALETHA MOSLEY
Title: OP DIRECTOR
Phone: (843) 364-1363

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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