Organization
CLEMSON-SENECA PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRYAN M MCCAIN (EXECUTIVE DIRECTOR)
(864) 885-7673
Entity
Organization
Contact information
Practice address
207 MAIN STREET, SENECA, SC 29678-3245
(864) 888-4222
(864) 888-0023
Mailing address
301 MEMORIAL DR, SUITE F, SENECA, SC 29672-9445
(864) 885-7989
(864) 885-7867
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
423886
RHC
SC
Enumeration date
11/15/2012
Last updated
06/24/2015
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