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Organization
NORTH AUGUSTA PEDIATRICS LLC
Active
Organization
NORTH AUGUSTA PEDIATRICS LLC
Active
Other names
North Augusta Pediatrics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN DAVID ALLEN M.D. (OWNER)
(803) 510-0007
Entity
Organization
Contact information
Practice address
140 ALLEN COURT, NORTH AUGUSTA, SC 29860
(803) 510-0007
(803) 510-0144
Mailing address
140 ALLEN COURT, NORTH AUGUSTA, SC 29860
(803) 510-0007
(803) 510-0144
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
NULL
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GPA917
—
SC
Enumeration date
11/27/2007
Last updated
09/13/2023
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