# CHERAW PEDIATRICS, P.A.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063635571
- **Authorized official:** DR. AGNES S SCHULTZ M.D. (OWNER)
- **Authorized official phone:** (843) 537-1811

## Contact information

- **Practice address:** 715 S DOCTORS DR, SUITE E, CHERAW, SC 29520-7113
- **Practice address phone:** (843) 537-1811
- **Mailing address:** 715 S DOCTORS DR, SUITE E, CHERAW, SC 29520-7113
- **Mailing address phone:** (843) 537-1811

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208000000X | Pediatrics Physician | 17373 | SC | Yes |

## Other

- **Enumeration date:** 04/11/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | GP2224 | — | SC |