1942598735 NPI number — CAROLINA PEDIATRICS AND ADOLESCENT CARE, PA

Table of content: (NPI 1942598735)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1942598735 NPI number — CAROLINA PEDIATRICS AND ADOLESCENT CARE, PA

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CAROLINA PEDIATRICS AND ADOLESCENT CARE, PA
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
CAROLINA PEDIATRICS PA
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1942598735
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/15/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2113 ADAMS GRV
Provider Second Line Business Mailing Address:
STE. 103
Provider Business Mailing Address City Name:
COLUMBIA
Provider Business Mailing Address State Name:
SC
Provider Business Mailing Address Postal Code:
29203-6951
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
803-256-0531
Provider Business Mailing Address Fax Number:
888-318-5567

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2113 ADAMS GRV
Provider Second Line Business Practice Location Address:
STE. 103
Provider Business Practice Location Address City Name:
COLUMBIA
Provider Business Practice Location Address State Name:
SC
Provider Business Practice Location Address Postal Code:
29203-6951
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
803-256-0531
Provider Business Practice Location Address Fax Number:
888-318-5567
Provider Enumeration Date:
07/14/2011

Additional Information

Authorized Official

Authorized Official Last Name:
LAMBRIES
Authorized Official First Name:
MARGIE
Authorized Official Middle Name:
Authorized Official Title or Position:
PHARMACY MANAGER
Authorized Official Telephone Number:
803-256-0531

Provider Taxonomy Codes

  • Taxonomy code: 332900000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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