Organization · Type 2 NPI

Blue Ridge Pediatrics LLC

Pediatric Adolescent Medicine Physician · Seneca, SC

NPI number 1457324907 Active

Practice location

457-B Highway 123 Bypass
Seneca, SC 29678

Fax (864) 888-4462

Mailing address

457B Highway 123
Seneca, SC 29678-0842

Specialties and licenses

TaxonomyCodeLicense
Pediatric Adolescent Medicine Physician Primary 2080A0000X246601 (SC)
Pediatric Adolescent Medicine Physician 2080A0000X101794 (SC)

Pediatric Adolescent Medicine Physician: A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

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About NPI 1457324907

Blue Ridge Pediatrics LLC's National Provider Identifier is 1457324907, issued on Feb 7, 2006. The primary taxonomy on file is Pediatric Adolescent Medicine Physician (2080A0000X), and the practice location is in Seneca, SC. The record was last updated on Jan 25, 2011.