Organization
EXPRESSCARE PEDIATRICS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TONYA KNOX-FRAZIER M.D. (OWNER)
(864) 551-2422
Entity
Organization
Contact information
Practice address
274 COMMONWEALTH DR, SUITE C, GREENVILLE, SC 29615-4869
(864) 551-2422
(864) 551-2424
Mailing address
2153 E MAIN ST, STE C14-321, DUNCAN, SC 29334-8724
(864) 551-2422
(864) 551-2424
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
274517
—
SC
Enumeration date
07/29/2009
Last updated
09/10/2013
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