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Organization

THE CHILDREN'S CLINIC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CARMINA C CRUZ M.D. (PEDIATRIC DOCTOR)
(803) 289-5437
Entity
Organization

Contact information

Practice address
1228 COLONIAL COMMONS, SUITE 231, LANCASTER, SC 29720-6233
(803) 289-5437
(803) 289-5440
Mailing address
1228 COLONIAL COMMONS, SUITE 231, LANCASTER, SC 29720-6233
(803) 289-5437
(803) 289-5440

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
202300
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
202300
SC
Enumeration date
04/20/2007
Last updated
10/31/2008
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If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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