Organization
EDISTO MULTISPECIALTY ASSOCIATES INC
Active
Other names
dba Edisto Pediatrics
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT ENGLAND (COORDINATOR)
(800) 661-3365
Entity
Organization
Contact information
Practice address
302 MEDICAL PARK DR, SUITE 211, WALTERBORO, SC 29488-5747
(843) 549-0787
(843) 549-6867
Mailing address
302 MEDICAL PARK DR, SUITE 211, WALTERBORO, SC 29488-5747
(843) 549-0787
(843) 549-6867
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RHC508/GP3156
—
SC
Enumeration date
10/17/2005
Last updated
08/29/2007
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