# CHILDRENS GROUP PC

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

## Provider details

- **NPI number:** 1841518842
- **Authorized official:** JONI OVANNA BUDHRAM MD (OWNER)
- **Authorized official phone:** (843) 332-6645

## Contact information

- **Practice address:** 701 MEDICAL PARK DR, SUITE 108, HARTSVILLE, SC 29550-4777
- **Practice address phone:** (843) 332-6645
- **Practice address fax:** (843) 332-9894
- **Mailing address:** 701 MEDICAL PARK DR, SUITE 108, HARTSVILLE, SC 29550-4777
- **Mailing address phone:** (843) 332-6645
- **Mailing address fax:** (843) 332-9894

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208000000X | Pediatrics Physician | 28451 | SC | Yes |

## Other

- **Enumeration date:** 05/14/2010
- **Last updated:** 05/14/2010