Organization
PEDIATRIC ASSOCIATES, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES GUY CASTLES III M.D. (PRESIDENT)
(803) 799-9044
Entity
Organization
Contact information
Practice address
2601 LAUREL ST STE 250, COLUMBIA, SC 29204-2035
(803) 799-9044
(803) 256-8119
Mailing address
2601 LAUREL ST STE 250, COLUMBIA, SC 29204-2035
(803) 799-9044
(803) 256-8119
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
PC074
SC
Other
Enumeration date
03/14/2007
Last updated
10/14/2025
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