Southside Pediatrics Of Aiken, Llc

LBN: Southside Pediatrics Of Aiken, Llc
Southside Pediatrics Of Aiken, Llc is an health care organization with primary practice located at 206 Centre South Blvd , Aiken SC 29803-6319. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Southside Pediatrics Of Aiken, Llc can be contacted via phone (803) 642-9204, or through Collins, Jonathan Claude via phone (803) 642-9204.

Contact Information

Primary practice address
206 Centre South Blvd Aiken SC 29803-6319
Phone: (803) 642-9204
Fax: (803) 648-3633
Website:
Map and Directions
Authorized official contact:
Name: Collins, Jonathan Claude Doctor of Medicine (MD)
Phone: (803) 642-9204

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 11083 South Carolina

Profile Details

NPI number 1245202217
LBN Legal business name Southside Pediatrics Of Aiken, Llc
DBA Doing business as
Authorized official Collins, Jonathan Claude Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 3rd, 2006
Last updated Jun 23rd, 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 1245202217 NPPES
South Carolina MEDICAID PC5204

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