TRIBE513 P.A. NPI 1154438075

NPI Information

TRIBE513, P.A. is an adolescent medicine pediatrics in Greenville, SC. The provider is a pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. TRIBE513, P.A. NPI is 1154438075. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Parkside Ob-gyn.

The provider's business location address is:

525 VERDAE BLVD
SUITE 200
GREENVILLE, SC
ZIP 29607-021
Phone: (864) 272-0388
Fax: (864) 213-9237

The provider's authorized official is Melissa Oostdyk .
The authorized official title is Coordinator, Provider Relations and has the following contact phone number (864) 272-0388.

The CLIA number assigned to this NPI record is 42D2119478 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 8/24/2006 and was last updated on 3/2/2020.

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:

Other Identifiers

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

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