Cheraw Pediatrics, P.A.

LBN: Cheraw Pediatrics, P.A.
Cheraw Pediatrics, P.A. is an health care organization with primary practice located at 715 S Doctors Dr Suite E, Cheraw SC 29520-7113. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Cheraw Pediatrics, P.A. can be contacted via phone (843) 537-1811, or through Schultz, Agnes S via phone (843) 537-1811.

Contact Information

Primary practice address
715 S Doctors Dr Suite E Cheraw SC 29520-7113
Phone: (843) 537-1811
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Schultz, Agnes S Doctor of Medicine (MD)
Phone: (843) 537-1811

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 17373 South Carolina

Profile Details

NPI number 1063635571
LBN Legal business name Cheraw Pediatrics, P.A.
DBA Doing business as
Authorized official Schultz, Agnes S Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 11th, 2007
Last updated Aug 22nd, 2020 - about 6 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 1063635571 NPPES
South Carolina MEDICAID GP2224

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