NPI 1609259217

Express Pediatric Care, P.A.

Organisation Pediatrics Physician Greenville, SC

Practice location

Address: 274 Commonwealth Dr Suite C, Greenville, SC 29615-4869
Phone: (864) 551-2422
Mailing address: 2607 Woodruff Rd Suite E #313, Simpsonville, SC 29681-4803

Authorised official

Name: Dawn Polly
Title: Owner
Phone: (864) 908-5797

Registered specialties

Pediatrics Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208000000X Licence 28748 (SC)

Other Pediatrics providers in South Carolina →

Registry record

NPI: 1609259217
Entity type: Organization
NPI issued: 30 Jun 2015
Record last updated: 30 Jun 2015

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.