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Contact Information

CHEROKEE PEDIATRIC ASSOCIATES
301 W PINE ST
BLACKSBURG, SC29702-1549
 Phone: 864-839-4325
 Fax: 864-839-9901
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Preferred Provider Organization

305R00000X
Indicates primary specialty

NPI Profile & details for CHEROKEE PEDIATRIC ASSOCIATES

NPI # 1811960248
LBN Legal business name CHEROKEE PEDIATRIC ASSOCIATES
Authorized official DAREN CARLING - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 02/08/2006
Last updated 10/05/2015 - About 11 years ago
Identifiers
SC License # 23503
SC Medicaid GP3830
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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