Foothills Pediatrics, Pa

LBN: Foothills Pediatrics, Pa
Foothills Pediatrics, Pa is an health care organization with primary practice located at 290 Enterprise Dr , Easley SC 29642-8280. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Foothills Pediatrics, Pa can be contacted via phone (864) 220-1110, or through Monroe, Fredda Lee via phone (864) 220-1110.

Contact Information

Primary practice address
290 Enterprise Dr Easley SC 29642-8280
Phone: (864) 220-1110
Fax: (864) 220-1104
Website:
Map and Directions
Authorized official contact:
Name: Monroe, Fredda Lee
Phone: (864) 220-1110

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X

Profile Details

NPI number 1265400469
LBN Legal business name Foothills Pediatrics, Pa
DBA Doing business as
Authorized official Monroe, Fredda Lee
Entity Organization
Organization subpart 1 No
Enumeration date Mar 14th, 2006
Last updated Aug 22nd, 2020 - about 4 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1265400469 NPPES
South Carolina MEDICAID GP3241

Popular Providers