Moncks Corner Pediatrics Llc

LBN: Moncks Corner Pediatrics Llc
Moncks Corner Pediatrics Llc is an health care organization with primary practice located at 5000 Epson Plantation Dr Ste B , Moncks Corner SC 29461-3979. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rural Health, which is considered as the primary health care specialty. Moncks Corner Pediatrics Llc can be contacted via phone (843) 761-2000, or through West, Joseph R via phone (843) 761-2000.

Contact Information

Primary practice address
5000 Epson Plantation Dr Ste B Moncks Corner SC 29461-3979
Phone: (843) 761-2000
Fax: (843) 761-2267
Website:
Map and Directions
Authorized official contact:
Name: West, Joseph R Doctor of Medicine (MD)
Phone: (843) 761-2000

Health care specialties

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

Profile Details

NPI number 1245550821
LBN Legal business name Moncks Corner Pediatrics Llc
DBA Doing business as
Authorized official West, Joseph R Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 7th, 2010
Last updated Jun 7th, 2010 - about 15 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 1245550821 NPPES
South Carolina MEDICAID RHC188

Popular Providers