Upstate Pediatric Mobility
NPI #1376419010 in Laurens, South Carolina
Provider Information
- NPI Number
- 1376419010
- Entity Type
- Organization
- Organization Name
- Upstate Pediatric Mobility
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Oct 10, 2025
- Last Updated
- Oct 10, 2025
Practice Location
- Address
- 114 LEMON TREE TRL
- City
- Laurens
- State
- South Carolina
- ZIP Code
- 29360-3908
- Phone
- (803) 307-1582
Authorized Official
- Name
- CHARLES BACO
- Title
- CO-OWNER
- Phone
- (803) 307-1582
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
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