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PELICAN PEDIATRICS LLC NPI 1306259544


NPI Information

NPI: 1306259544
Provider Name: PELICAN PEDIATRICS LLC
Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 42D1046784

Address:
452 FOLLY RD
CHARLESTON, SC
ZIP 29412
Phone: (843) 795-3344
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PELICAN PEDIATRICS LLC is a pediatrics in Charleston, 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. PELICAN PEDIATRICS LLC NPI is 1306259544. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

452 FOLLY RD
CHARLESTON, SC
ZIP 29412
Phone: (843) 795-3344

The provider's authorized official is Eliza Varadi .
The authorized official title is Pediatrician and has the following contact phone number (843) 795-3344.

The CLIA number assigned to this NPI record is 42D1046784 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/5/2014 and was last updated on 3/28/2019.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatrics29944SOUTH CAROLINAYes

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: 4/28/2024

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