| Kidscare Pediatrics, P.a. | |
|
109 Omni Dr Ste A Seneca SC 29672-9448 | |
| (864) 885-9448 | |
| (864) 885-1980 |
| Full Name | Kidscare Pediatrics, P.a. |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 109 Omni Dr Ste A, Seneca, South Carolina |
| Authorized Official Name and Position | Monica E Silva (OWNER) |
| Authorized Official Contact | 8648859448 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kidscare Pediatrics, P.a. Po Box 1647 Seneca SC 29679-1647 Ph: (864) 885-9448 | Kidscare Pediatrics, P.a. 109 Omni Dr Ste A Seneca SC 29672-9448 Ph: (864) 885-9448 |
| NPI Number | 1003927690 |
|---|---|
| Provider Enumeration Date | 08/31/2006 |
| Last Update Date | 11/01/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003927690 | NPI | - | NPPES |
| GP4497 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 22162 (South Carolina) | Primary |
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