Organization
SEACOAST PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MEGHAN ODOM GEILS MD (SECRETARY)
(843) 795-8100
Entity
Organization
Contact information
Practice address
776 DANIEL ELLIS DR, SUITE 2 A, CHARLESTON, SC 29412-3094
(843) 795-8100
(843) 722-3010
Mailing address
776 DANIEL ELLIS DR, SUITE 2 A, CHARLESTON, SC 29412-3094
(843) 795-8100
(843) 722-3010
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
19333
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP3214
—
SC
Enumeration date
03/15/2007
Last updated
08/22/2020
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