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
Phone: (843) 234-5678
Fax: (843) 234-4567
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1962481531 | NPPES |
South Carolina | MEDICAID | GP4121 |
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