Organization
CHILDRENS MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALAN COOPER (ADMINISTRATOR)
(864) 288-5402
Entity
Organization
Contact information
Practice address
131 COMMONWEALTH DR, SUITE 310, GREENVILLE, SC 29615-4883
(864) 288-5402
Mailing address
131 COMMONWEALTH DR, SUITE 310, GREENVILLE, SC 29615-4883
(864) 288-5402
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
SC
Other
Enumeration date
11/06/2006
Last updated
08/22/2020
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