# SEASHORE PEDIATRICS

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

## Provider details

- **NPI number:** 1265458251
- **Authorized official:** DONALD NILES LUDLOW JR. MD (PRESIDENT SEASHORE PEDIATRICS PC)
- **Authorized official phone:** (843) 716-2229

## Contact information

- **Practice address:** 3109 CASEY ST, BOX 669, LORIS, SC 29569-2807
- **Practice address phone:** (843) 716-2229
- **Practice address fax:** (843) 716-2483
- **Mailing address:** PO BOX 669, LORIS, SC 29569-0669
- **Mailing address phone:** (843) 716-2229
- **Mailing address fax:** (843) 716-2483

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208000000X | Pediatrics Physician | — | NULL | Yes |
| 208000000X | Pediatrics Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/14/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 5901589 | — | NC |
| 05 | — | GP 3483 | — | SC |