Georgetown Pediatric Center, Pc
Pediatrics
Georgetown Pediatric Center, Pc is a Georgetown, South Carolina based Pediatric center with medical specialization in
General Pediatrics.
It is located at
57 Jessamine Ave, Georgetown, South Carolina - 29440-5837. They can be contacted on phone at
843-546-8686 and fax number 843-546-1353.
NPI number (Unique professional ID) for Georgetown Pediatric Center, Pc is
1760682637 which was assigned by NPPES on 19 Jul, 2007 and it was last updated on 18 Mar, 2009.
Georgetown Pediatric Center, Pc license number is
14532 for Pediatrics (208000000X) in South Carolina.
Georgetown Pediatric Center, Pc is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Georgetown Pediatric Center, Pc basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Georgetown Pediatric Center, Pc |
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Business Address:
Georgetown Pediatric Center, Pc address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 57 Jessamine Ave
Georgetown, SC, 29440-5837
United States |
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| Phone Number : | 843-546-8686 |
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| Fax Number : | 843-546-1353 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1760682637 |
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| NPI Entity Type : | Organization |
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| First Enrolment Date : | 19 Jul, 2007 |
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| Last Updated On : | 18 Mar, 2009 |
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Authorized Official Details:
Officially authorized person to contact for any management issues or complaints of this organization are as below. Person's position and contact details are as mentioned below.
| Authorized Official Name : | Paulj Hletko |
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| Authorized Official Credential : | MD |
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| Official Title or Position : | PRESIDENT |
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| Phone Number : | 843-546-8686 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Georgetown Pediatric Center, Pc are as mentioned. Primary taxonomy code for Georgetown Pediatric Center, Pc is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 14532 | SC |
Legacy Identifiers:
Other legacy medical identifiers of Georgetown Pediatric Center, Pc such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| GP0557 | MEDICAID | SC | |
| RHC031 | MEDICAID | SC | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | Po Box 618
Georgetown, SC, 29442-0618
United States |
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| Phone Number : | 843-546-8686 |
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| Fax Number : | 843-546-1356 |
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Business Location:
Patients can refer following map for directions to
Georgetown Pediatric Center, Pc practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.