# THE PEDIATRIC CARE CENTER, LLC

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

## Provider details

- **NPI number:** 1497295174
- **Authorized official:** BRANDY SMITH (OFFICE MANAGER)
- **Authorized official phone:** (803) 604-8400

## Contact information

- **Practice address:** 6614 AUGUSTA HWY, LEESVILLE, SC 29070-9213
- **Practice address phone:** (803) 604-8400
- **Practice address fax:** (803) 604-8404
- **Mailing address:** 6614 AUGUSTA HWY, LEESVILLE, SC 29070-9213
- **Mailing address phone:** (803) 604-8400
- **Mailing address fax:** (803) 604-8404

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208000000X | Pediatrics Physician | 21070 | SC | Yes |

## Other

- **Enumeration date:** 03/01/2017
- **Last updated:** 03/01/2017