Express Pediatric Care, P.A.

LBN: Express Pediatric Care, P.A.
Express Pediatric Care, P.A. is an health care organization with primary practice located at 274 Commonwealth Dr Suite C, Greenville SC 29615-4869. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Express Pediatric Care, P.A. can be contacted via phone (864) 551-2422, or through Polly, Dawn via phone (864) 908-5797.

Contact Information

Primary practice address
274 Commonwealth Dr Suite C Greenville SC 29615-4869
Phone: (864) 551-2422
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Polly, Dawn Doctor of Medicine (MD)
Phone: (864) 908-5797

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 28748 South Carolina

Profile Details

NPI number 1609259217
LBN Legal business name Express Pediatric Care, P.A.
DBA Doing business as
Authorized official Polly, Dawn Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 30th, 2015
Last updated Jun 30th, 2015 - about 11 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 1609259217 NPPES
South Carolina MEDICAID 287488

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