Organization
EASTERN CAROLINA PEDIATRIC ASSOCIATES
Active
Other names
LowCountry Pediatric Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES MORRISON FARISH M.D. (PRESIDENT)
(843) 667-6710
Entity
Organization
Contact information
Practice address
105 INDUSTRIAL WAY, DARLINGTON, SC 29532-6044
(843) 395-6112
(843) 395-9062
Mailing address
PO BOX 1730, DARLINGTON, SC 29540-1730
(843) 395-6112
(843) 395-9062
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZA9606
—
SC
Enumeration date
11/09/2006
Last updated
07/21/2022
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