Organization
SWEETGRASS PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LAURA HILTON JAMES (OFFICE MANAGER)
(843) 764-1722
Entity
Organization
Contact information
Practice address
2713 DANTZLER DR, NORTH CHARLESTON, SC 29406-9005
(843) 764-1722
(843) 764-1788
Mailing address
2713 DANTZLER DR, NORTH CHARLESTON, SC 29406-9005
(843) 764-1722
(843) 764-1788
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20014778
SELECT HEALTH OF SC
SC
05
—
GP3557
—
SC
Enumeration date
08/05/2006
Last updated
08/22/2020
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