Carolina Pediatrics & Adolescent Care, Pa

LBN: Carolina Pediatrics & Adolescent Care, Pa
Carolina Pediatrics & Adolescent Care, Pa is an health care organization with primary practice located at 2113 Adams Grv Suite 101, Columbia SC 29203-7102. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Carolina Pediatrics & Adolescent Care, Pa can be contacted via phone (803) 256-0531, or through Mubarak, Philip F. via phone (803) 256-0531.

Contact Information

Primary practice address
2113 Adams Grv Suite 101 Columbia SC 29203-7102
Phone: (803) 256-0531
Fax: (803) 765-9052
Website:
Map and Directions
Authorized official contact:
Name: Mubarak, Philip F. Doctor of Medicine (MD)
Phone: (803) 256-0531

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 12782 South Carolina

Profile Details

NPI number 1306805056
LBN Legal business name Carolina Pediatrics & Adolescent Care, Pa
DBA Doing business as
Authorized official Mubarak, Philip F. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 21st, 2006
Last updated Oct 13th, 2017 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306805056 NPPES
South Carolina MEDICAID GP0094

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