Organization
TRI-COUNTY PEDIATRICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GAURANG C SHAH MD (MEDICAL DIRECTOR)
(803) 329-2700
Entity
Organization
Contact information
Practice address
815 E LIBERTY ST, YORK, SC 29745-1661
(803) 329-2700
Mailing address
815 E LIBERTY ST, YORK, SC 29745-1661
(803) 628-2728
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
22018
SC
Other
Enumeration date
02/06/2007
Last updated
04/02/2020
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