Magnolia Pediatrics

LBN: Magnolia Pediatrics
Magnolia Pediatrics is an health care organization with primary practice located at 600 Singleton Ridge Rd , Conway SC 29526-9154. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Magnolia Pediatrics can be contacted via phone (843) 347-9099, or through Corontzes, Stephen Alexander via phone (843) 347-9099.

Contact Information

Primary practice address
600 Singleton Ridge Rd Conway SC 29526-9154
Phone: (843) 347-9099
Fax: (866) 632-2923
Website:
Map and Directions
Authorized official contact:
Name: Corontzes, Stephen Alexander Doctor of Medicine (MD)
Phone: (843) 347-9099

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 13931 South Carolina

Profile Details

NPI number 1467618298
LBN Legal business name Magnolia Pediatrics
DBA Doing business as
Authorized official Corontzes, Stephen Alexander Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 31st, 2008
Last updated Feb 8th, 2013 - about 13 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 1467618298 NPPES
South Carolina MEDICAID 327877
South Carolina MEDICAID 139317
South Carolina MEDICAID GP2059

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