Piedmont Pediatrics Of Laurens
LBN: Piedmont Pediatrics Of Laurens
Piedmont Pediatrics Of Laurens is an health care organization with primary practice located at 996 Medical Ridge Road , Clinton SC 29325. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty.
Piedmont Pediatrics Of Laurens can be contacted via phone (864) 833-5654, or through Burgess, Sally Elaine via phone (864) 833-5654.
Contact Information
Primary practice address
996 Medical Ridge Road
Clinton SC 29325
Phone: (864) 833-5654
Fax: (864) 833-2786
Website:
Authorized official contact:
Name: Burgess, Sally Elaine Doctor of Medicine (MD)
Phone: (864) 833-5654
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 229522 | South Carolina |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 23086 | South Carolina |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | APN699 | South Carolina |
Profile Details
| NPI number | 1083652630 |
|---|---|
| LBN Legal business name | Piedmont Pediatrics Of Laurens |
| DBA Doing business as | |
| Authorized official | Burgess, Sally Elaine Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 4th, 2006 |
| Last updated | Jul 10th, 2014 - about 10 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 | 1083652630 | NPPES |
| South Carolina | MEDICAID | RHC152 |
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