NPI 1013114818

Ridge Pediatrics and Adolescent Center

Organisation Specialist Leesville, SC

Practice location

Address: 338 E Columbia Ave Suite E, Leesville, SC 29070-9285
Phone: (803) 532-2877
Fax: (803) 532-5430

Authorised official

Name: Linda Deloach
Title: Office Manager
Phone: (803) 532-2877

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence 12957 (SC)

Other Specialist providers in South Carolina →

Registry record

NPI: 1013114818
Entity type: Organization
NPI issued: 27 Jun 2007
Record last updated: 22 Aug 2020

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.