Organization
POWERBACK PEDIATRICS OF SOUTH CAROLINA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAIGE MCCOMAS (SVP)
(947) 228-4199
Entity
Organization
Contact information
Practice address
174 MEETING ST STE 300, CHARLESTON, SC 29401-3211
(888) 269-9876
Mailing address
101 E STATE ST, KENNETT SQUARE, PA 19348-3109
(800) 728-8808
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
04/18/2024
Last updated
04/18/2025
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