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Organization
CHILDRENS CHOICE PEDIATRICS PA
Active
Organization
CHILDRENS CHOICE PEDIATRICS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS FRANCIS BRADY M.D. (MEMBER PEDIATRICAN)
(803) 647-1265
Entity
Organization
Contact information
Practice address
6108 GARNERS FERRY RD, COLUMBIA, SC 29209-1401
(803) 647-1265
(803) 647-1266
Mailing address
6108 GARNERS FERRY RD, COLUMBIA, SC 29209-1401
(803) 647-1265
(803) 647-1266
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
17166
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP4126
—
SC
Enumeration date
12/21/2006
Last updated
07/09/2007
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