# RICE PLANTER PEDIATRICS LLC

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

## Provider details

- **NPI number:** 1083809958
- **Authorized official:** DR. CHERYL ANTIONETTE GRANT MD (OWNER)
- **Authorized official phone:** (843) 509-5848

## Contact information

- **Practice address:** 416 ROBERTSON BLVD, STE D, WALTERBORO, SC 29488-2952
- **Practice address phone:** (843) 782-5437
- **Practice address fax:** (843) 782-4269
- **Mailing address:** 317 WINTERGREEN RD, WALTERBORO, SC 29488-9512
- **Mailing address phone:** (843) 782-5437
- **Mailing address fax:** (843) 782-4269

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 25971 | SC | Yes |

## Other

- **Enumeration date:** 09/13/2007
- **Last updated:** 09/13/2007