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Organization
EASTERN CAROLINA PEDIATRIC ASSOCIATES PC
Active
Organization
EASTERN CAROLINA PEDIATRIC ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES MORRISON FARISH M.D. (PRESIDENT)
(843) 395-0015
Entity
Organization
Contact information
Practice address
105 INDUSTRIAL WAY, DARLINGTON, SC 29532-0000
(843) 395-0015
(843) 395-2573
Mailing address
PO BOX 799, DARLINGTON, SC 29540-0799
(843) 395-0015
(843) 395-2573
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
NULL
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RHC067
—
SC
Enumeration date
12/12/2006
Last updated
04/24/2009
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