# PLANTATION PEDIARTICS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** PLANTATION PEDIARTICS, LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1598263097
- **Legal business name:** PLANTATION PEDIARTICS, LLC
- **Authorized official:** MS. ANGIE TAYLOR (CEO)
- **Authorized official phone:** (843) 766-6308

## Contact information

- **Practice address:** 1483 TOBIAS GADSON BLVD STE 101, CHARLESTON, SC 29407-4795
- **Practice address phone:** (843) 531-9961
- **Practice address fax:** (843) 531-9961
- **Mailing address:** 1871 SAVAGE RD, CHARLESTON, SC 29407-4726
- **Mailing address phone:** (843) 531-9961

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | SC | Yes |

## Other

- **Enumeration date:** 01/30/2018
- **Last updated:** 01/30/2018