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Organization
CAROLINA PEDIATRICS AT ROCK HILL LLC
Active
Organization
CAROLINA PEDIATRICS AT ROCK HILL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLOS G PAXTOR MD (PEDIATRICIAN/PROVIDER)
(803) 327-9999
Entity
Organization
Contact information
Practice address
225 HERLONG AVE S STE 201, ROCK HILL, SC 29732-2168
(803) 327-9999
Mailing address
225 HERLONG AVE S STE 201, ROCK HILL, SC 29732-2168
(803) 327-9999
(803) 327-9998
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
—
PG0184
—
SC
Enumeration date
12/14/2020
Last updated
02/17/2021
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