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Contact Information

EASLEY PEDIATRICS PA
800 NORTH A ST
EASLEY, SC29640
 Phone: 864-855-0001
 Fax: 864-855-5030
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for EASLEY PEDIATRICS PA · (Female)

NPI # 1710931290
Status Active
Credentials
Entity Individual
Enumeration date 05/20/2006
Last updated 08/22/2020 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers
  • SC Medicaid PA8900
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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