# UNIVERSAL CENTER FOR PEDIATRIC & ADOLESCENT MEDICINE,LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** UCPAM
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144598681
- **Authorized official:** DR. ROSANA LABORDE MARKLEY M.D. (MANAGING MEMBER)
- **Authorized official phone:** (843) 682-4300

## Contact information

- **Practice address:** 843 WILLIAM HILTON PKWY, HILTON HEAD ISLAND, SC 29928-3444
- **Practice address phone:** (843) 682-4300
- **Practice address fax:** (843) 682-4301
- **Mailing address:** PO BOX 23916, HILTON HEAD ISLAND, SC 29925-3916
- **Mailing address phone:** (843) 682-4300
- **Mailing address fax:** (843) 682-4301

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208000000X | Pediatrics Physician | 31267 | SC | Yes |

## Other

- **Enumeration date:** 12/13/2011
- **Last updated:** 12/13/2011