Organization
MANTE PEDIATRICS OF ROCK HILL INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PATIENCE MANTE (ADMINISTRATOR)
(803) 313-3846
Entity
Organization
Contact information
Practice address
1626 CRANIUM DR, SUITE 103, ROCK HILL, SC 29732-3506
(803) 980-5700
(803) 980-5702
Mailing address
1626 CRANIUM DR, SUITE 103, ROCK HILL, SC 29732-3506
(803) 980-5700
(803) 980-5702
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
29696
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
296968
—
SC
Enumeration date
01/07/2014
Last updated
01/07/2014
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