SOUTH CAROLINA PEDIATRICS ALLIANCE LLC NPI 1184016941

NPI Information

SOUTH CAROLINA PEDIATRICS ALLIANCE, LLC is an adolescent medicine pediatrics in Columbia, 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. SOUTH CAROLINA PEDIATRICS ALLIANCE, LLC NPI is 1184016941. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

601 CLEMSON RD
COLUMBIA, SC
ZIP 29229-341
Phone: (803) 788-6146
Fax: (803) 462-0312

The provider's authorized official is Sarah Grubbs .
The authorized official title is Cfo and has the following contact phone number (803) 788-6146.

The enumeration date for this NPI number is 3/3/2015 and was last updated on 7/11/2019.

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:

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