# TRIBE513, P.A.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Parkside Pediatrics
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366983637
- **Authorized official:** MRS. MELISSA KAY OOSTDYK (COORDINATOR, PROVIDER RELATIONS)
- **Authorized official phone:** (864) 272-0388

## Contact information

- **Practice address:** 312 HARRISON BRIDGE RD, SIMPSONVILLE, SC 29680-7133
- **Practice address phone:** (864) 272-0388
- **Practice address fax:** (864) 213-9237
- **Mailing address:** 525 VERDAE BLVD STE 200, GREENVILLE, SC 29607-4021
- **Mailing address phone:** (864) 272-0388
- **Mailing address fax:** (864) 213-9237

## Taxonomy

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

## Other

- **Enumeration date:** 03/20/2017
- **Last updated:** 01/30/2020