Southside Pediatrics Of Aiken, Llc
Pediatrics
Southside Pediatrics Of Aiken, Llc is a Aiken, South Carolina based Pediatric center with medical specialization in
General Pediatrics.
It is located at
206 Centre South Blvd, Aiken, South Carolina - 29803-6319. They can be contacted on phone at
803-642-9204 and fax number 803-648-3633.
NPI number (Unique professional ID) for Southside Pediatrics Of Aiken, Llc is
1245202217 which was assigned by NPPES on 03 Feb, 2006 and it was last updated on 23 Jun, 2011.
Southside Pediatrics Of Aiken, Llc license number is
11083 for Pediatrics (208000000X) in South Carolina.
Southside Pediatrics Of Aiken, Llc 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:
Southside Pediatrics Of Aiken, Llc basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
Specialization : | Pediatrics |
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Provider Name : | Southside Pediatrics Of Aiken, Llc |
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Business Address:
Southside Pediatrics Of Aiken, Llc 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 : | 206 Centre South Blvd Aiken, SC, 29803-6319 United States |
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Phone Number : | 803-642-9204 |
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Fax Number : | 803-648-3633 |
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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 : | 1245202217 |
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NPI Entity Type : | Organization |
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First Enrolment Date : | 03 Feb, 2006 |
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Last Updated On : | 23 Jun, 2011 |
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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 : | Jonathanclaude Collins |
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Authorized Official Credential : | M.D. |
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Official Title or Position : | MANAGING PARTNER |
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Phone Number : | 803-642-9204 |
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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 Southside Pediatrics Of Aiken, Llc are as mentioned. Primary taxonomy code for Southside Pediatrics Of Aiken, Llc is
208000000X (Pediatrics).
Taxonomy Code | Speciality | Primary | License No. | State |
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208000000X | Pediatrics | Yes | 11083 | SC |
Legacy Identifiers:
Other legacy medical identifiers of Southside Pediatrics Of Aiken, Llc such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
Identifier | Identifier Type | State | Issuer |
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PC5204 | 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 : | 206 Centre South Blvd Aiken, SC, 29803-6319 United States |
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Phone Number : | 803-642-9204 |
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Business Location:
Patients can refer following map for directions to
Southside Pediatrics Of Aiken, Llc practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.