Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
SOUTHSIDE PEDIATRICS OF AIKEN, LLC
Active
Organization
SOUTHSIDE PEDIATRICS OF AIKEN, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN CLAUDE COLLINS M.D. (MANAGING PARTNER)
(803) 642-9204
Entity
Organization
Contact information
Practice address
206 CENTRE SOUTH BLVD, AIKEN, SC 29803-6319
(803) 642-9204
(803) 648-3633
Mailing address
206 CENTRE SOUTH BLVD, AIKEN, SC 29803-6319
(803) 642-9204
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
11083
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PC5204
—
SC
Enumeration date
02/03/2006
Last updated
06/23/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers