Clemsonseneca Pediatric & Adolescent Medicine, P.A.
LBN: Clemsonseneca Pediatric & Adolescent Medicine, P.A.
Clemsonseneca Pediatric & Adolescent Medicine, P.A. is an health care organization with primary practice located at 207 Main St , Seneca SC 29678-3245. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty.
Clemsonseneca Pediatric & Adolescent Medicine, P.A. can be contacted via phone (864) 888-4222, or through Dean, Jordan A via phone (864) 888-4222.
Contact Information
Primary practice address
207 Main St
Seneca SC 29678-3245
Phone: (864) 888-4222
Fax: (864) 888-0023
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 10252 | South Carolina |
Profile Details
| NPI number | 1760547335 |
|---|---|
| LBN Legal business name | Clemsonseneca Pediatric & Adolescent Medicine, P.A. |
| DBA Doing business as | |
| Authorized official | Dean, Jordan A Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 26th, 2006 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1760547335 | NPPES |
| South Carolina | MEDICAID | MPA972 |
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