Conway Pediatrics,Pa

LBN: Conway Pediatrics,Pa
Conway Pediatrics,Pa is an health care organization with primary practice located at 907 Bell St , Conway SC 29526-4113. The organization recently has only one registered license in Other Service Providers / Legal Medicine, which is considered as the primary health care specialty. Conway Pediatrics,Pa can be contacted via phone (843) 248-2727, or through Petrusick, Thomas via phone (843) 248-2727.

Contact Information

Primary practice address
907 Bell St Conway SC 29526-4113
Phone: (843) 248-2727
Fax: (843) 248-5107
Website:
Map and Directions
Authorized official contact:
Name: Petrusick, Thomas Doctor of Medicine (MD)
Phone: (843) 248-2727

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Legal Medicine 173000000X 4548 South Carolina

Profile Details

NPI number 1518986637
LBN Legal business name Conway Pediatrics,Pa
DBA Doing business as
Authorized official Petrusick, Thomas Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 19th, 2006
Last updated Feb 20th, 2014 - about 11 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 1518986637 NPPES
South Carolina MEDICAID RHC063

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