Parkwood Pediatric Group PA
NPI #1659521201 in Charleston, South Carolina
Provider Information
- NPI Number
- 1659521201
- Entity Type
- Organization
- Organization Name
- Parkwood Pediatric Group PA
- Primary Specialty
- Pediatrics
- Enumeration Date
- Sep 19, 2008
- Last Updated
- Sep 19, 2008
Practice Location
- Address
- 1243 SAVANNAH HWY
- City
- Charleston
- State
- South Carolina
- ZIP Code
- 29407-7817
- Phone
- (843) 556-8110
Authorized Official
- Name
- MR. CHARLES W KISABETH, M.D.
- Title
- PHYSICIAN
- Phone
- (843) 266-7636
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pediatrics |
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