Organization
PEDIATRIC AFTER HOURS CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILIP F MUBARAK MD (OWNER)
(803) 865-4900
Entity
Organization
Contact information
Practice address
114 GATEWAY CORPORATE BLVD, SUITE 440, COLUMBIA, SC 29203-9740
(803) 865-4900
(803) 419-2647
Mailing address
114 GATEWAY CORPORATE BLVD, SUITE 440, COLUMBIA, SC 29203-9740
(803) 865-4900
(803) 419-2647
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
12782
SC
Other
Enumeration date
03/23/2007
Last updated
05/23/2008
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