Organization
SANDLAPPER PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JILL AIKEN MD (PEDITRICIAN)
(843) 216-9901
Entity
Organization
Contact information
Practice address
570 LONG POINT RD STE 240, STE. 240, MT PLEASANT, SC 29464-7932
(843) 216-9901
Mailing address
295 SEVEN FARMS DR, PMB 195 SUITE C, DANIEL ISLAND, SC 29492-8001
(843) 216-9901
(843) 216-9715
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
188484
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP3969
—
SC
Enumeration date
03/23/2007
Last updated
07/25/2011
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