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Organization

SEASIDE PEDIATRICS, PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TAMMY H COBB (OFFICE MANAGER)
(843) 881-2484
Entity
Organization

Contact information

Practice address
309 WINGO WAY, SUITE 101, MT PLEASANT, SC 29464-1804
(843) 881-2484
(843) 881-2909
Mailing address
309 WINGO WAY, SUITE 101, MT PLEASANT, SC 29464-1804
(843) 881-2484
(843) 881-2909

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
GP3029
SC
Enumeration date
01/02/2007
Last updated
08/22/2020
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