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Contact Information

CHILDREN'S RESPIRATORY CENTER, PA
58 BEAR DR
GREENVILLE, SC29605-4458
 Phone: 864-220-8000
 Fax: 864-220-8009
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Pulmonology

2080P0214X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for CHILDREN'S RESPIRATORY CENTER, PA

NPI Number 1699964569
LBN Legal business name CHILDREN'S RESPIRATORY CENTER, PA
Authorized official GUY FASCIANA - (OFFICE ADMINISTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 10/17/2007
Last updated 10/17/2007 - About 19 years ago
Identifiers
SC License # 11118
SC Other DME653 MEDICAID DME
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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