Organization · Type 2 NPI

Palmetto Pediatrics of Conway

Specialist · Conway, SC

NPI number 1962481531 Active

Practice location

171 Waccamaw Medical Park Ct
Conway, SC 29526-8965

Fax (843) 234-4567

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X22576 (SC)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1962481531

Palmetto Pediatrics of Conway's National Provider Identifier is 1962481531, issued on Jan 12, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Conway, SC. The record was last updated on Jan 27, 2011.