Easley Pediatrics Pa in Easley - Pediatrics
Easley Pediatrics Pa - NPI 1710931290
Easley Pediatrics Pa is a Pediatrics in Easley, South Carolina. Easley Pediatrics Pa practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Easley Pediatrics Pa is 1710931290. The last update date is 2020-08-22.
Easley Pediatrics Pa's current location address is 800 North A St, Easley, South Carolina. You can contact this provider via phone number 8648550001 and fax number 8648555030. The mailing address for Easley Pediatrics Pa is 800 North A St, Easley, South Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Easley Pediatrics Pa |
|---|---|
| Address | 800 North A St, Easley, South Carolina |
| Phone Number | 8648550001 |
| Fax Number | 8648555030 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Goudelock Morgan Gary |
| Credentials | MD |
| Telephone Number | 8648550001 |
NPI Number Detail
| NPI Number | 1710931290 |
|---|---|
| Provider Enumeration Date | 2006-05-20 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 800 North A St |
|---|---|
| City | Easley |
| State | South Carolina (SC) |
| Post Code | 29640 |
| Phone Number | 8648550001 |
| Fax Number | 8648555030 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 208000000X |
|
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 |
|---|---|---|---|
| PA8900 | SC | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Easley Pediatrics Pa by the Centers for Medicare & Medicaid Services?
The Easley Pediatrics Pa has been issued the NPI (National Provider Identifier) 1710931290. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Easley Pediatrics Pa located?
The Easley Pediatrics Pa is located at 800 North A St, Easley, SC 29640.
What is Easley Pediatrics Pa's specialized field of practice, and what is the corresponding taxonomy classification code?
The Easley Pediatrics Pa's area of specialization is Pediatrics, and the corresponding taxonomy code that categorizes this field of practice is 208000000X.
On what date did Easley Pediatrics Pa receive its 1710931290 assignment from the Centers for Medicare & Medicaid Services?
The Easley Pediatrics Pa was assigned its 1710931290 on 2006-05-20, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Easley Pediatrics Pa, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Easley Pediatrics Pa, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-08-22.
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