Organization
INLET PEDIATRICS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMANDA GUYTON DROSIEKO MD (PHYSICIAN)
(843) 652-3300
Entity
Organization
Contact information
Practice address
140 BANDAGE COURT, MURRELLS INLET, SC 29576
(843) 652-3300
Mailing address
PO BOX 4920, MURRELLS INLET, SC 29576-2699
(843) 652-3300
(843) 652-3200
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP4436
—
SC
Enumeration date
08/18/2006
Last updated
05/23/2012
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