Organization
AIKEN PEDIATRICS, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PAULA C. GODWIN (OFFICE MANAGER)
(803) 649-2925
Entity
Organization
Contact information
Practice address
74 PHYSICIAN DR, AIKEN, SC 29801-6388
(803) 649-2925
(803) 649-2788
Mailing address
74 PHYSICIAN DR, AIKEN, SC 29801-6388
(803) 649-2925
(803) 649-2788
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0505068
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PC1388
—
SC
Enumeration date
07/26/2005
Last updated
08/22/2020
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