# PEDIATRIC AFTER HOURS CARE LLC

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

## Provider details

- **NPI number:** 1982721213
- **Authorized official:** DR. PHILIP F MUBARAK MD (OWNER)
- **Authorized official phone:** (803) 865-4900

## Contact information

- **Practice address:** 114 GATEWAY CORPORATE BLVD, SUITE 440, COLUMBIA, SC 29203-9740
- **Practice address phone:** (803) 865-4900
- **Practice address fax:** (803) 419-2647
- **Mailing address:** 114 GATEWAY CORPORATE BLVD, SUITE 440, COLUMBIA, SC 29203-9740
- **Mailing address phone:** (803) 865-4900
- **Mailing address fax:** (803) 419-2647

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208000000X | Pediatrics Physician | 12782 | SC | Yes |

## Other

- **Enumeration date:** 03/23/2007
- **Last updated:** 05/23/2008