Organization
PEDIATRIC ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LINDA E REED (OFFICE MANAGER)
(803) 432-1931
Entity
Organization
Contact information
Practice address
1346 HAILE ST, CAMDEN, SC 29020-3076
(803) 432-1931
(803) 432-1176
Mailing address
1346 HAILE ST, CAMDEN, SC 29020-3076
(803) 432-1931
(803) 432-1176
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
134795
—
SC
05
—
185551
—
SC
05
—
299073
—
SC
05
—
320352
—
SC
05
—
75867
—
SC
05
—
85357
—
SC
05
—
95612
—
SC
Enumeration date
06/11/2006
Last updated
01/31/2013
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