Organization
MONCKS CORNER PEDIATRICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH R WEST JR. M.D. (OWNER)
(843) 761-2000
Entity
Organization
Contact information
Practice address
5000 EPSON PLANTATION DR, SUITE B, MONCKS CORNER, SC 29461-3979
(843) 761-2000
(843) 761-2267
Mailing address
5000 EPSON PLANTATION DR, SUITE B, MONCKS CORNER, SC 29461-3979
(843) 761-2000
(843) 761-2267
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
07/17/2008
Last updated
06/09/2010
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