Valcourt Pediatric Associates

LBN: Valcourt Pediatric Associates
Valcourt Pediatric Associates is an health care organization with primary practice located at 124 Medical Park Dr , Walterboro SC 29488-5719. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Valcourt Pediatric Associates can be contacted via phone (843) 782-3636, or through Hart, Lisa Maree via phone (843) 782-3636.

Contact Information

Primary practice address
124 Medical Park Dr Walterboro SC 29488-5719
Phone: (843) 782-3636
Fax: (843) 782-3269
Website:
Map and Directions
Authorized official contact:
Name: Hart, Lisa Maree
Phone: (843) 782-3636

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 29352 South Carolina

Profile Details

NPI number 1396012126
LBN Legal business name Valcourt Pediatric Associates
DBA Doing business as
Authorized official Hart, Lisa Maree
Entity Organization
Organization subpart 1 No
Enumeration date Nov 22nd, 2011
Last updated Nov 22nd, 2011 - about 15 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 1396012126 NPPES
South Carolina MEDICAID G58526

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