# CHILDREN'S RESPIRATORY CENTER, PA

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

## Provider details

- **NPI number:** 1699964569
- **Authorized official:** DR. GUY SAMUEL FASCIANA (OFFICE ADMINISTRATOR)
- **Authorized official phone:** (864) 220-8000

## Contact information

- **Practice address:** 58 BEAR DR, GREENVILLE, SC 29605-4458
- **Practice address phone:** (864) 220-8000
- **Practice address fax:** (864) 220-8009
- **Mailing address:** 58 BEAR DR, GREENVILLE, SC 29605-4458
- **Mailing address phone:** (864) 220-8000
- **Mailing address fax:** (864) 220-8009

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2080P0214X | Pediatric Pulmonology Physician | 11118 | SC | Yes |

## Other

- **Enumeration date:** 10/17/2007
- **Last updated:** 10/17/2007