Magnolia Pediatrics in Conway - Pediatrics

Magnolia Pediatrics - NPI 1467618298

Magnolia Pediatrics is a Pediatrics in Conway, South Carolina. Magnolia Pediatrics practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Magnolia Pediatrics is 1467618298. The last update date is 2013-02-08.

Magnolia Pediatrics's current location address is 600 Singleton Ridge Rd, Conway, South Carolina. You can contact this provider via phone number 8433479099 and fax number 8433479029. The mailing address for Magnolia Pediatrics is 600 Singleton Ridge Rd, Conway, South Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Organization Magnolia Pediatrics
Address 600 Singleton Ridge Rd, Conway, South Carolina
Phone Number 8433479099
Fax Number 8433479029
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Corontzes Alexander Stephen
Credentials M.D.
Telephone Number 8433479099

NPI Number Detail

NPI Number 1467618298
Provider Enumeration Date 2008-07-31
Last Updated Date 2013-02-08

Provider Mailing Address Detail

Address 600 Singleton Ridge Rd
City Conway
State South Carolina (SC)
Post Code 295269154
Phone Number 8433479099
Fax Number 8433479029

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 208000000X
Licence No 13931
Definition:
A pediatrician 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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
327877 SC --
139317 SC --
GP2059 SC --

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FAQs about Magnolia Pediatrics

What is the unique 10-digit identification code issued to Magnolia Pediatrics by the Centers for Medicare & Medicaid Services?

The Magnolia Pediatrics has been assigned the NPI (National Provider Identifier) 1467618298 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you provide the complete physical address where Magnolia Pediatrics is located?

The Magnolia Pediatrics is situated at the following address: 600 Singleton Ridge Rd, Conway, SC, 295269154.

What is Magnolia Pediatrics's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Magnolia Pediatrics is Pediatrics, and the taxonomy code that categorizes this field of expertise is 208000000X.

On what date did the Magnolia Pediatrics receive the assignment of its 1467618298 from the Centers for Medicare & Medicaid Services?

The Magnolia Pediatrics was issued its 1467618298 by the Centers for Medicare & Medicaid Services on 2008-07-31.

When was the Magnolia Pediatrics's information last updated?

The Magnolia Pediatrics's information was last updated on 2013-02-08.

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