Organization
EASTERN CAROLINA PEDIATRIC ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES MORRISON FARISH M.D. (PRESIDENT/PARTNER)
(843) 667-6710
Entity
Organization
Contact information
Practice address
1530 MCCLURE CT, FLORENCE, SC 29505-6046
(843) 667-6710
(843) 317-9784
Mailing address
1530 MCCLURE CT, FLORENCE, SC 29505-6046
(843) 667-6710
(843) 317-9784
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PC0183
—
SC
Enumeration date
06/16/2006
Last updated
08/22/2020
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