Organization · Type 2 NPI

Lexington County Health Services District, Inc.

Pediatric Adolescent Medicine Physician · Lexington, SC

NPI number 1861418329 Active

Practice location

811 West Main Street, Ste 204
Lexington, SC 29072

Call (803) 359-8855 Map

Fax (803) 359-1257

Mailing address

470 Hulon Ln, Attn: Vp Revenue Cycle
West Columbia, SC 29169

Other practice locations

3240 Sunset Blvd, West Columbia, SC 29169-3428 · (803) 359-8855

Specialties and licenses

Taxonomy	Code	License
Pediatric Adolescent Medicine Physician Primary	2080A0000X	None listed

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.

8 other providers at this address

Other pediatric adolescent medicine physician providers in Lexington

Lexington Health IncPediatric Adolescent Medicine Physician Lexington, SC NPI 1619574969

See all in Lexington →

NPI record

NPI: 1861418329
Entity type: Organization (Type 2)
Issued: Jul 15, 2006
Last updated: Jun 25, 2020
Status: Active
Subpart: Yes of Lexington County Health Services District, Inc.

Other names

<unavail>
Lexington Pediatric Practice · doing business as
Lexington Pediatric Practice · doing business as

Authorized official

Melinda P Kruzner
Executive Vice President
(803) 791-2000

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1861418329

Lexington County Health Services District, Inc.'s National Provider Identifier is 1861418329, issued on Jul 15, 2006. The primary taxonomy on file is Pediatric Adolescent Medicine Physician (2080A0000X), and the practice location is in Lexington, SC. The record was last updated on Jun 25, 2020.