# EXPRESS PEDIATRIC CARE, P.A.

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

## Provider details

- **NPI number:** 1609259217
- **Authorized official:** DR. DAWN POLLY M.D. (OWNER)
- **Authorized official phone:** (864) 908-5797

## Contact information

- **Practice address:** 274 COMMONWEALTH DR, SUITE C, GREENVILLE, SC 29615-4869
- **Practice address phone:** (864) 551-2422
- **Mailing address:** 2607 WOODRUFF RD, SUITE E \#313, SIMPSONVILLE, SC 29681-4803

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208000000X | Pediatrics Physician | 28748 | SC | Yes |

## Other

- **Enumeration date:** 06/30/2015
- **Last updated:** 06/30/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 287488 | — | SC |