# NORTH AUGUSTA PEDIATRICS LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** North Augusta Pediatrics
- **Organization subpart:** No

## Provider details

- **NPI number:** 1700068293
- **Authorized official:** DR. JOHN DAVID ALLEN M.D. (OWNER)
- **Authorized official phone:** (803) 510-0007

## Contact information

- **Practice address:** 140 ALLEN COURT, NORTH AUGUSTA, SC 29860
- **Practice address phone:** (803) 510-0007
- **Practice address fax:** (803) 510-0144
- **Mailing address:** 140 ALLEN COURT, NORTH AUGUSTA, SC 29860
- **Mailing address phone:** (803) 510-0007
- **Mailing address fax:** (803) 510-0144

## Taxonomy

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

## Other

- **Enumeration date:** 11/27/2007
- **Last updated:** 09/13/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | GPA917 | — | SC |