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EDISTO MULTISPECIALTY ASSOCIATES INC NPI 1144219726


NPI Information

NPI: 1144219726
Provider Name: EDISTO MULTISPECIALTY ASSOCIATES INC

Doing Business As: DBA EDISTO PEDIATRICS

Classification: Pediatrics - 208000000X
Entity Type: Organization
Address:
302 MEDICAL PARK DR
SUITE 211
WALTERBORO, SC
ZIP 29488
Phone: (843) 549-0787
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EDISTO MULTISPECIALTY ASSOCIATES INC is a pediatrics in Walterboro, SC. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. EDISTO MULTISPECIALTY ASSOCIATES INC NPI is 1144219726. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Dba Edisto Pediatrics.

The provider's business location address is:

302 MEDICAL PARK DR
SUITE 211
WALTERBORO, SC
ZIP 29488-747
Phone: (843) 549-0787
Fax: (843) 549-6867

The provider's authorized official is Robert England .
The authorized official title is Coordinator and has the following contact phone number (800) 661-3365.

The enumeration date for this NPI number is 10/17/2005 and was last updated on 8/29/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208000000XPediatricsYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1RHC508/GP3156MEDICAIDSOUTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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