# THE PEDIATRIC CENTER

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

## Provider details

- **NPI number:** 1558415844
- **Authorized official:** DR. AZIZ GHANDNOOSH M.D. (PHYSICIAN)
- **Authorized official phone:** (864) 848-7005

## Contact information

- **Practice address:** 111 MEMORIAL DR, GREER, SC 29650-1518
- **Practice address phone:** (864) 848-7004
- **Practice address fax:** (864) 848-3666
- **Mailing address:** 111 MEMORIAL DR, GREER, SC 29650-1518
- **Mailing address phone:** (864) 848-7004
- **Mailing address fax:** (864) 848-3666

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208000000X | Pediatrics Physician | 18570 | SC | Yes |

## Other

- **Enumeration date:** 01/23/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | T26745 | — | SC |