Organization
THE PEDIATRIC CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AZIZ GHANDNOOSH M.D. (PHYSICIAN)
(864) 848-7005
Entity
Organization
Contact information
Practice address
111 MEMORIAL DR, GREER, SC 29650-1518
(864) 848-7004
(864) 848-3666
Mailing address
111 MEMORIAL DR, GREER, SC 29650-1518
(864) 848-7004
(864) 848-3666
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
18570
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
T26745
—
SC
Enumeration date
01/23/2007
Last updated
08/22/2020
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