Georgetown Pediatric Center

LBN: Georgetown Pediatric Center
Georgetown Pediatric Center is an health care organization with primary practice located at 57 Jessamine Ave , Georgetown SC 29440-5837. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rural Health, which is considered as the primary health care specialty. Georgetown Pediatric Center can be contacted via phone (843) 546-8686, or through Amann, Lee Ann via phone (843) 546-8686.

Contact Information

Primary practice address
57 Jessamine Ave Georgetown SC 29440-5837
Phone: (843) 546-8686
Fax: (843) 546-1353
Website:
Map and Directions
Authorized official contact:
Name: Amann, Lee Ann MHA
Phone: (843) 546-8686

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rural Health 261QR1300X

Profile Details

NPI number 1013334200
LBN Legal business name Georgetown Pediatric Center
DBA Doing business as
Authorized official Amann, Lee Ann MHA
Entity Organization
Organization subpart 1 No
Enumeration date Mar 25th, 2014
Last updated Mar 25th, 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 1013334200 NPPES
South Carolina MEDICAID Q84256

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