Organization
TRI-COUNTY PEDIATRICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GAURANG C SHAH M.D. (MANAGING PHYSICIAN)
(803) 329-2700
Entity
Organization
Contact information
Practice address
165 AMENDMENT AVE, SUITE 102, ROCK HILL, SC 29732-3036
(803) 329-2700
(803) 329-2788
Mailing address
165 AMENDMENT AVENUE, SUITE 102, ROCK HILL, SC 29732-2730
(803) 329-2700
(803) 329-2788
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
22018
SC
Other
Enumeration date
03/28/2006
Last updated
03/18/2021
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