# PEDIATRIC ASSOCIATES PA

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

## Provider details

- **NPI number:** 1730121179
- **Authorized official:** MRS. LINDA E REED (OFFICE MANAGER)
- **Authorized official phone:** (803) 432-1931

## Contact information

- **Practice address:** 1346 HAILE ST, CAMDEN, SC 29020-3076
- **Practice address phone:** (803) 432-1931
- **Practice address fax:** (803) 432-1176
- **Mailing address:** 1346 HAILE ST, CAMDEN, SC 29020-3076
- **Mailing address phone:** (803) 432-1931
- **Mailing address fax:** (803) 432-1176

## Taxonomy

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

## Other

- **Enumeration date:** 06/11/2006
- **Last updated:** 01/31/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 134795 | — | SC |
| 05 | — | 185551 | — | SC |
| 05 | — | 299073 | — | SC |
| 05 | — | 320352 | — | SC |
| 05 | — | 75867 | — | SC |
| 05 | — | 85357 | — | SC |
| 05 | — | 95612 | — | SC |