| The Children's Clinic | |
|
1228 Colonial Commons Suite 231 Lancaster SC 29720-6233 | |
| (803) 289-5437 | |
| (803) 289-5440 |
| Full Name | The Children's Clinic |
|---|---|
| Speciality | Clinic/center |
| Location | 1228 Colonial Commons, Lancaster, South Carolina |
| Authorized Official Name and Position | Carmina C Cruz (PEDIATRIC DOCTOR) |
| Authorized Official Contact | 8032895437 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Children's Clinic 1228 Colonial Commons Suite 231 Lancaster SC 29720-6233 Ph: (803) 289-5437 | The Children's Clinic 1228 Colonial Commons Suite 231 Lancaster SC 29720-6233 Ph: (803) 289-5437 |
| NPI Number | 1184841942 |
|---|---|
| Provider Enumeration Date | 04/20/2007 |
| Last Update Date | 10/31/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184841942 | NPI | - | NPPES |
| 202300 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 202300 (South Carolina) | Primary |
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