Organization
STARFISH PEDIATRIC ENT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE HARRIS MD (OWNER)
(843) 738-0218
Entity
Organization
Contact information
Practice address
110B SPRINGHALL DR, GOOSE CREEK, SC 29445-5335
(843) 738-0218
(843) 207-4975
Mailing address
110B SPRINGHALL DR, GOOSE CREEK, SC 29445-5335
(843) 738-0218
Taxonomy
Speciality
Code
Description
License number
State
207YP0228X
Pediatric Otolaryngology Physician
Primary
—
—
Other
Enumeration date
06/15/2020
Last updated
08/10/2020
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