The Pediatric Clinic, P.A.

LBN: The Pediatric Clinic, P.A.
The Pediatric Clinic, P.A. is an health care organization with primary practice located at 940 Holly St Ne , Orangeburg SC 29115-4930. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. The Pediatric Clinic, P.A. can be contacted via phone (803) 536-2725, or through Thomas, Peggy C. via phone (803) 536-2725.

Contact Information

Primary practice address
940 Holly St Ne Orangeburg SC 29115-4930
Phone: (803) 536-2725
Fax: (803) 534-1441
Website:
Map and Directions
Authorized official contact:
Name: Thomas, Peggy C.
Phone: (803) 536-2725

Health care specialties

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

Profile Details

NPI number 1811995111
LBN Legal business name The Pediatric Clinic, P.A.
DBA Doing business as
Authorized official Thomas, Peggy C.
Entity Organization
Organization subpart 1 No
Enumeration date Jul 11th, 2005
Last updated Jul 21st, 2022 - about 3 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 1811995111 NPPES
South Carolina MEDICAID GP0966

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