Organization
MONCKS CORNER PEDIATRICS LLC
Active
Organization
MONCKS CORNER PEDIATRICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH R WEST JR. MD (OWNER)
(843) 761-2000
Entity
Organization
Contact information
Practice address
5000 EPSON PLANTATION DR STE B, MONCKS CORNER, SC 29461-3979
(843) 761-2000
(843) 761-2267
Mailing address
5000 EPSON PLANTATION DR STE B, MONCKS CORNER, SC 29461-3979
(843) 761-2000
(843) 761-2267
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RHC188
—
SC
Enumeration date
06/07/2010
Last updated
06/07/2010
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