Palmetto Pediatrics Of Conway

LBN: Palmetto Pediatrics Of Conway
Palmetto Pediatrics Of Conway is an health care organization with primary practice located at 171 Waccamaw Medical Park Ct , Conway SC 29526-8965. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Palmetto Pediatrics Of Conway can be contacted via phone (843) 234-5678, or through Rabon, Brian M via phone (843) 234-5678.

Contact Information

Primary practice address
171 Waccamaw Medical Park Ct Conway SC 29526-8965
Fax: (843) 234-4567
Website:
Authorized official contact:
Name: Rabon, Brian M Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 22576 South Carolina

Profile Details

NPI number 1962481531
LBN Legal business name Palmetto Pediatrics Of Conway
DBA Doing business as
Authorized official Rabon, Brian M Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 12th, 2006
Last updated Jan 27th, 2011 - about 14 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 1962481531 NPPES
South Carolina MEDICAID GP4121

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