Organization
UNIVERSAL CENTER FOR PEDIATRIC & ADOLESCENT MEDICINE,LLC
Active
Other names
UCPAM
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROSANA LABORDE MARKLEY M.D. (MANAGING MEMBER)
(843) 682-4300
Entity
Organization
Contact information
Practice address
843 WILLIAM HILTON PKWY, HILTON HEAD ISLAND, SC 29928-3444
(843) 682-4300
(843) 682-4301
Mailing address
PO BOX 23916, HILTON HEAD ISLAND, SC 29925-3916
(843) 682-4300
(843) 682-4301
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
31267
SC
Other
Enumeration date
12/13/2011
Last updated
12/13/2011
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