Organization
SEASHORE PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD NILES LUDLOW JR. MD (PRESIDENT SEASHORE PEDIATRICS PC)
(843) 716-2229
Entity
Organization
Contact information
Practice address
3109 CASEY ST, BOX 669, LORIS, SC 29569-2807
(843) 716-2229
(843) 716-2483
Mailing address
PO BOX 669, LORIS, SC 29569-0669
(843) 716-2229
(843) 716-2483
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5901589
—
NC
05
—
GP 3483
—
SC
Enumeration date
07/14/2006
Last updated
08/22/2020
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