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TRI-COUNTY PEDIATRICS LLC NPI 1366403792


NPI Information

NPI: 1366403792
Provider Name: TRI-COUNTY PEDIATRICS LLC
Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 42D0981460

Address:
165 AMENDMENT AVE
SUITE 102
ROCK HILL, SC
ZIP 29732
Phone: (803) 329-2700
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TRI-COUNTY PEDIATRICS LLC is a pediatrics in Rock Hill, 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. TRI-COUNTY PEDIATRICS LLC NPI is 1366403792. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

165 AMENDMENT AVE
SUITE 102
ROCK HILL, SC
ZIP 29732-036
Phone: (803) 329-2700
Fax: (803) 329-2788

The provider's authorized official is Gaurang C Shah .
The authorized official title is Managing Physician and has the following contact phone number (803) 329-2700.

The CLIA number assigned to this NPI record is 42D0981460 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/28/2006 and was last updated on 3/18/2021.


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
1208000000XPediatrics22018SOUTH 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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