Organization
THE PEDIATRIC CARE CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDY SMITH (OFFICE MANAGER)
(803) 604-8400
Entity
Organization
Contact information
Practice address
6614 AUGUSTA HWY, LEESVILLE, SC 29070-9213
(803) 604-8400
(803) 604-8404
Mailing address
6614 AUGUSTA HWY, LEESVILLE, SC 29070-9213
(803) 604-8400
(803) 604-8404
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
21070
SC
Other
Enumeration date
03/01/2017
Last updated
03/01/2017
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