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Organization
THE CHILDREN'S CLINIC
Active
Organization
THE CHILDREN'S CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARMINA C CRUZ M.D. (PEDIATRIC DOCTOR)
(803) 289-5437
Entity
Organization
Contact information
Practice address
1228 COLONIAL COMMONS, SUITE 231, LANCASTER, SC 29720-6233
(803) 289-5437
(803) 289-5440
Mailing address
1228 COLONIAL COMMONS, SUITE 231, LANCASTER, SC 29720-6233
(803) 289-5437
(803) 289-5440
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
202300
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
202300
—
SC
Enumeration date
04/20/2007
Last updated
10/31/2008
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