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Organization

OAKBROOK PEDIATRICS, PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MARY KATE TILLMAN M.D. (PRESIDENT)
(843) 871-2588
Entity
Organization

Contact information

Practice address
1801 TROLLEY RD, STE 202, SUMMERVILLE, SC 29485-8283
(843) 871-2588
(843) 871-1664
Mailing address
1801 TROLLEY RD, STE 202, SUMMERVILLE, SC 29485-8283
(843) 871-2588
(843) 871-1664

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary

Other

Enumeration date
02/15/2006
Last updated
08/22/2020
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