Organization · Type 2 NPI
Moncks Corner Pediatrics LLC
Rural Health Clinic/Center · Moncks Corner, SC
NPI number
1003070103
Active
Practice location
5000 Epson Plantation Dr, Suite B
Moncks Corner, SC 29461-3979
Fax (843) 761-2267
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatrics Physician | 208000000X | None listed |
| Rural Health Clinic/Center Primary | 261QR1300X | None listed |
Rural Health Clinic/Center: Definition to come...
2 other providers at this address
Other rural health clinic/center providers in Moncks Corner
About NPI 1003070103
Moncks Corner Pediatrics LLC's National Provider Identifier is 1003070103, issued on Jul 17, 2008. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Moncks Corner, SC. The record was last updated on Jun 9, 2010.