# TRI-COUNTY PEDIATRICS LLC

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

## Provider details

- **NPI number:** 1366403792
- **Authorized official:** GAURANG C SHAH M.D. (MANAGING PHYSICIAN)
- **Authorized official phone:** (803) 329-2700

## Contact information

- **Practice address:** 165 AMENDMENT AVE, SUITE 102, ROCK HILL, SC 29732-3036
- **Practice address phone:** (803) 329-2700
- **Practice address fax:** (803) 329-2788
- **Mailing address:** 165 AMENDMENT AVENUE, SUITE 102, ROCK HILL, SC 29732-2730
- **Mailing address phone:** (803) 329-2700
- **Mailing address fax:** (803) 329-2788

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208000000X | Pediatrics Physician | 22018 | SC | Yes |

## Other

- **Enumeration date:** 03/28/2006
- **Last updated:** 03/18/2021