National Provider Identifier Database

EASLEY PEDIATRICS PA
Pediatrics

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 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.


Contact Information

EASLEY PEDIATRICS PA
800 NORTH A ST
EASLEY, SC29640
Phone: 864-855-0001
Fax: 864-855-5030
Website:
Specialty Taxonomy Code
* Pediatrics 208000000X

* Indicates primary specialty

NPI Profile & details for EASLEY PEDIATRICS PA

NPI Number 1710931290
Legal business name
LBN
EASLEY PEDIATRICS PA
Authorized official GARY GOUDELOCK - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 05/20/2006
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • SC Medicaid: PA8900

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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