Organization
ELM PEDIATRICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. HEATHER BROWN RN (PRACTICE ADMINISTRATOR)
(843) 977-7337
Entity
Organization
Contact information
Practice address
800 W MAIN ST, LAKE CITY, SC 29560-4400
(843) 977-7337
(843) 956-5415
Mailing address
800 W MAIN ST, LAKE CITY, SC 29560-4400
(843) 977-7337
(843) 956-5415
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LP0200X
Pediatric Nurse Practitioner
—
—
Other
Enumeration date
09/03/2021
Last updated
08/16/2023
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