Organization
MEDICAL UNIVERSITY HOSPITAL AUTHORITY
Active
Other names
MUSC Childrens Pediatrics Marion Medical Park
Organization subpart
No
Provider details
NPI number
Authorized official
KARYN RAE (DIRECTOR)
(843) 876-1344
Entity
Organization
Contact information
Practice address
2845 E HIGHWAY 76 STE 4, MULLINS, SC 29574-6037
(843) 431-2720
Mailing address
PO BOX 936801, ATLANTA, GA 31193-6801
(843) 792-2300
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
02/08/2019
Last updated
11/04/2019
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