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Organization
EASTERN CAROLINA PEDIATRIC ASSOCIATES
Active
Organization
EASTERN CAROLINA PEDIATRIC ASSOCIATES
Active
Other names
LowCountry Pediatric Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES MORRISON FARISH M.D. (PRESIDENT)
(843) 667-6710
Entity
Organization
Contact information
Practice address
105 INDUSTRIAL WAY, DARLINGTON, SC 29532-6044
(843) 395-6112
(843) 395-9062
Mailing address
PO BOX 1730, DARLINGTON, SC 29540-1730
(843) 395-6112
(843) 395-9062
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZA9606
—
SC
Enumeration date
11/09/2006
Last updated
07/21/2022
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