# PEDIATRICS OF NEWBERRY, LLC

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

## Provider details

- **NPI number:** 1659400851
- **Authorized official:** DR. KARL W HOLTZER M.D. (OWNER)
- **Authorized official phone:** (803) 405-0220

## Contact information

- **Practice address:** 145 EXECUTIVE DR, NEWBERRY, SC 29108-2952
- **Practice address phone:** (803) 405-0220
- **Practice address fax:** (803) 405-0222
- **Mailing address:** PO BOX 355, NEWBERRY, SC 29108-0355
- **Mailing address phone:** (803) 405-0220
- **Mailing address fax:** (803) 405-0222

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208000000X | Pediatrics Physician | — | NULL | Yes |
| 208000000X | Pediatrics Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/05/2007
- **Last updated:** 06/21/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | GP4811 | — | SC |