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Organization

EXPRESS PEDIATRIC CARE, P.A.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DAWN POLLY M.D. (OWNER)
(864) 908-5797
Entity
Organization

Contact information

Practice address
274 COMMONWEALTH DR, SUITE C, GREENVILLE, SC 29615-4869
(864) 551-2422
Mailing address
2607 WOODRUFF RD, SUITE E #313, SIMPSONVILLE, SC 29681-4803

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
28748
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
287488
SC
Enumeration date
06/30/2015
Last updated
06/30/2015
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