# SEASIDE PEDIATRICS, PA

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

## Provider details

- **NPI number:** 1326105255
- **Authorized official:** TAMMY H COBB (OFFICE MANAGER)
- **Authorized official phone:** (843) 881-2484

## Contact information

- **Practice address:** 309 WINGO WAY, SUITE 101, MT PLEASANT, SC 29464-1804
- **Practice address phone:** (843) 881-2484
- **Practice address fax:** (843) 881-2909
- **Mailing address:** 309 WINGO WAY, SUITE 101, MT PLEASANT, SC 29464-1804
- **Mailing address phone:** (843) 881-2484
- **Mailing address fax:** (843) 881-2909

## Taxonomy

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

## Other

- **Enumeration date:** 01/02/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | GP3029 | — | SC |