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Organization
SHERIDAN CHILDREN'S HEALTHCARE SERVICES OF SOUTH CAROLINA, P.A.
Active
Organization
SHERIDAN CHILDREN'S HEALTHCARE SERVICES OF SOUTH CAROLINA, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
M. RICHARD AUERBACH MD (PRESIDENT)
(954) 838-2371
Entity
Organization
Contact information
Practice address
295 MIDLAND PKWY, SUMMERVILLE, SC 29485-8104
(843) 832-5100
Mailing address
PO BOX 452106, SUNRISE, FL 33345-2106
Taxonomy
Speciality
Code
Description
License number
State
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
—
—
208000000X
Pediatrics Physician
—
—
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
—
—
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
—
—
208M00000X
Hospitalist Physician
—
—
Other
Enumeration date
07/31/2012
Last updated
11/12/2012
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