NPI 1386751337

Mount Pleasant Pediatrics, P.A.

Organisation Preferred Provider Organization Mount Pleasant, SC

Practice location

Address: 1041 Johnnie Dodds Blvd Suite 5a, Mount Pleasant, SC 29464-6156
Phone: (843) 881-0007
Fax: (843) 884-3690

Authorised official

Name: Sandra L. Powell
Title: President
Phone: (843) 881-0007

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence 10505 (SC)

Other Preferred Provider Organization providers in South Carolina →

Registry record

NPI: 1386751337
Entity type: Organization
NPI issued: 24 Aug 2006
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.