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Organization

PLANTATION PEDIARTICS, LLC

Active
Parent organization
PLANTATION PEDIARTICS, LLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
PLANTATION PEDIARTICS, LLC
Authorized official
MS. ANGIE TAYLOR (CEO)
(843) 766-6308
Entity
Organization

Contact information

Practice address
1483 TOBIAS GADSON BLVD STE 101, CHARLESTON, SC 29407-4795
(843) 531-9961
(843) 531-9961
Mailing address
1871 SAVAGE RD, CHARLESTON, SC 29407-4726
(843) 531-9961

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
SC

Other

Enumeration date
01/30/2018
Last updated
01/30/2018
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