Charleston Pediatrics

LBN: Charleston Pediatrics
Charleston Pediatrics is an health care organization with primary practice located at 198 Rutledge Ave Suite 1, Charleston SC 29403-5817. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Charleston Pediatrics can be contacted via phone (843) 723-0855, or through Quattlebaum, Thomas Godfrey via phone (843) 723-0855.

Contact Information

Primary practice address
198 Rutledge Ave Suite 1 Charleston SC 29403-5817
Phone: (843) 723-0855
Fax: (843) 723-1307
Website:
Map and Directions
Authorized official contact:
Name: Quattlebaum, Thomas Godfrey Doctor of Medicine (MD)
Phone: (843) 723-0855

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X South Carolina

Profile Details

NPI number 1013965474
LBN Legal business name Charleston Pediatrics
DBA Doing business as
Authorized official Quattlebaum, Thomas Godfrey Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 5th, 2006
Last updated Jul 10th, 2007 - about 17 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 1013965474 NPPES
South Carolina MEDICAID GP3608

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