MONCKS CORNER PEDIATRICS LLC is a rural health clinic center in Moncks Corner, SC. MONCKS CORNER PEDIATRICS LLC NPI is 1003070103. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
5000 EPSON PLANTATION DR
SUITE B
MONCKS CORNER, SC
ZIP 29461-979
Phone: (843) 761-2000
Fax: (843) 761-2267
The provider's authorized official is Joseph R West .
The authorized official title is Owner and has the following contact phone number (843) 761-2000.
The CLIA number assigned to this NPI record is 42D2132752 - other - fire dept bls non transpo with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 7/17/2008 and was last updated on 6/9/2010.