GEORGETOWN PEDIATRIC CENTER PC NPI 1760682637

NPI Information

  • NPI: 1760682637
  • Provider Name: GEORGETOWN PEDIATRIC CENTER, PC
  • Classification: Pediatrics - 208000000X
  • Entity Type: Organization
  • Address: 57 JESSAMINE AVE
    GEORGETOWN, SC
    ZIP 29440
  • Phone: (843) 546-8686

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NPI Details

GEORGETOWN PEDIATRIC CENTER, PC is a pediatrics in Georgetown, 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. GEORGETOWN PEDIATRIC CENTER, PC NPI is 1760682637. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

57 JESSAMINE AVE
GEORGETOWN, SC
ZIP 29440-837
Phone: (843) 546-8686
Fax: (843) 546-1353

The provider's authorized official is Paul J Hletko .
The authorized official title is President and has the following contact phone number (843) 546-8686.

The enumeration date for this NPI number is 7/19/2007 and was last updated on 3/18/2009.

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
1208000000XPediatrics14532SOUTH 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
1RHC031MEDICAIDSOUTH CAROLINA
2GP0557MEDICAIDSOUTH 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: 3/30/2025

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