Organization
SOUTH CAROLINA PEDIATRICS ALLIANCE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH GRUBBS (CFO)
(803) 788-6146
Entity
Organization
Contact information
Practice address
601 CLEMSON RD, COLUMBIA, SC 29229-4341
(803) 788-6146
(803) 462-0312
Mailing address
601 CLEMSON RD, COLUMBIA, SC 29229-4341
(803) 788-6146
(803) 462-0312
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
—
—
Other
Enumeration date
03/03/2015
Last updated
07/11/2019
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