Pee Dee Pediatrics

LBN: Marion Regional Healthcare System
Pee Dee Pediatrics is an health care organization with primary practice located at 2835 E Highway 76 Suite 7, Mullins SC 29574-6038. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Ambulatory Health Care Facilities / Rural Health. Ambulatory Health Care Facilities / Rural Health is the primary health care specialty. Marion Regional Healthcare System can be contacted via phone (843) 431-2650, or through Tucker, Harold E via phone (843) 431-2405.

Contact Information

Primary practice address
2835 E Highway 76 Suite 7 Mullins SC 29574-6038
Fax: (843) 431-2647
Website:
Authorized official contact:
Name: Tucker, Harold E

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X
Ambulatory Health Care Facilities / Rural Health 261QR1300X RHC 121 South Carolina

Profile Details

NPI number 1336173970
LBN Legal business name Marion Regional Healthcare System
DBA Doing business as Pee Dee Pediatrics
Authorized official Tucker, Harold E
Entity Organization
Organization subpart 1 No
Enumeration date Jul 10th, 2006
Last updated Oct 2nd, 2008 - about 17 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 1336173970 NPPES
South Carolina MEDICAID RHC121

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