| Plantation Pediartics, Llc | |
|
1483 Tobias Gadson Blvd Ste 101 Charleston SC 29407-4795 | |
| (843) 531-9961 | |
| (843) 531-9961 |
| Full Name | Plantation Pediartics, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1483 Tobias Gadson Blvd Ste 101, Charleston, South Carolina |
| Authorized Official Name and Position | Angie Taylor (CEO) |
| Authorized Official Contact | 8437666308 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Plantation Pediartics, Llc 1871 Savage Rd Charleston SC 29407-4726 Ph: (843) 531-9961 | Plantation Pediartics, Llc 1483 Tobias Gadson Blvd Ste 101 Charleston SC 29407-4795 Ph: (843) 531-9961 |
| NPI Number | 1598263097 |
|---|---|
| Provider Enumeration Date | 01/30/2018 |
| Last Update Date | 01/30/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598263097 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (South Carolina) | Primary |
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