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Organization

EASTERN CAROLINA PEDIATRIC ASSOCIATES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CHARLES MORRISON FARISH MD (PRESIDENT)
(843) 395-0015
Entity
Organization

Contact information

Practice address
105 INDUSTRIAL WAY, DARLINGTON, SC 29532-0000
(843) 395-0015
(843) 395-2573
Mailing address
PO BOX 799, DARLINGTON, SC 29540-0799
(843) 395-0015
(843) 395-2573

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
GP2390
SC
Enumeration date
12/22/2006
Last updated
08/22/2020
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