Anderson Pediatric Group, Llc

LBN: Anderson Pediatric Group, Llc
Anderson Pediatric Group, Llc is an health care organization with primary practice located at 705 N Fant St , Anderson SC 29621-5705. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Anderson Pediatric Group, Llc can be contacted via phone (864) 226-3484, or through Treash, Dale E via phone (864) 226-3484.

Contact Information

Primary practice address
705 N Fant St Anderson SC 29621-5705
Fax: (864) 225-0837
Website:
Authorized official contact:
Name: Treash, Dale E Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X

Profile Details

NPI number 1598716185
LBN Legal business name Anderson Pediatric Group, Llc
DBA Doing business as
Authorized official Treash, Dale E Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 16th, 2006
Last updated Feb 22nd, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598716185 NPPES
South Carolina MEDICAID GP4821

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