Organization
SHERIDAN CHILDREN'S HEALTHCARE SERVICES OF SOUTH CAROLINA, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
M. RICHARD AUERBACH MD (PRESIDENT)
(954) 838-2371
Entity
Organization
Contact information
Practice address
295 MIDLAND PKWY, SUMMERVILLE, SC 29485-8104
(843) 832-5100
Mailing address
PO BOX 452106, SUNRISE, FL 33345-2106
Taxonomy
Speciality
Code
Description
License number
State
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
—
—
208000000X
Pediatrics Physician
—
—
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
—
—
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
—
—
208M00000X
Hospitalist Physician
—
—
Other
Enumeration date
07/31/2012
Last updated
11/12/2012
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