RICE PLANTER PEDIATRICS LLC NPI 1083809958

NPI Information

  • NPI: 1083809958
  • Provider Name: RICE PLANTER PEDIATRICS LLC
  • Classification: Clinic/Center - 261QM2500X
  • Specialization: Medical Specialty
  • Entity Type: Organization
  • CLIA Number: 42D1074052
  • Address: 416 ROBERTSON BLVD
    STE D
    WALTERBORO, SC
    ZIP 29488
  • Phone: (843) 782-5437

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NPI Details

RICE PLANTER PEDIATRICS LLC is a medical specialty clinic center in Walterboro, SC. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). RICE PLANTER PEDIATRICS LLC NPI is 1083809958. The provider is registered as an organization entity type.

The provider's business location address is:

416 ROBERTSON BLVD
STE D
WALTERBORO, SC
ZIP 29488-952
Phone: (843) 782-5437
Fax: (843) 782-4269

The provider's authorized official is Cheryl Antionette Grant .
The authorized official title is Owner and has the following contact phone number (843) 509-5848.

The CLIA number assigned to this NPI record is 42D1074052 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/13/2007 and was last updated on 9/13/2007.

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
1261QM2500XClinic/CenterMedical Specialty25971SOUTH CAROLINAYes

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
1259712MEDICAIDSOUTH 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: 11/21/2025

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