NPI 1003070103

Moncks Corner Pediatrics LLC

Organisation Rural Health Clinic/Center Moncks Corner, SC

Practice location

Address: 5000 Epson Plantation Dr Suite B, Moncks Corner, SC 29461-3979
Phone: (843) 761-2000
Fax: (843) 761-2267

Authorised official

Name: Joseph R West
Title: Owner
Phone: (843) 761-2000

Registered specialties (2)

Rural Health Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QR1300X

Other Clinic/Center providers in South Carolina →

Pediatrics Physician

Allopathic & Osteopathic Physicians Taxonomy 208000000X

Other Pediatrics providers in South Carolina →

Registry record

NPI: 1003070103
Entity type: Organization
NPI issued: 17 Jul 2008
Record last updated: 9 Jun 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.