Eastern Carolina Pediatric Associates PC

Organization Active NPI Pediatrics Physician · Darlington, SC

NPI 1437219979 · NPPES record last updated Apr 24, 2009

Key facts

NPI
1437219979
Entity type
Organization (NPI type 2)
Primary specialty
Pediatrics Physician 208000000X
Legal business name
EASTERN CAROLINA PEDIATRIC ASSOCIATES PC
Practice address
105 Industrial Way
Darlington, SC 29532-0000
Phone
(843) 395-0015
Fax
(843) 395-2573
NPI assigned
Dec 12, 2006
Organization subpart
No

Authorized official

Name
Dr. Charles Morrison Farish, M.D.
Title
President
Phone
(843) 395-0015

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Locations

105 Industrial Way
Darlington, SC 29532
Phone (843) 395-0015

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician
Group: 193400000X SINGLE SPECIALTY GROUP
208000000X Yes

Addresses

Primary practice location

105 Industrial Way
Darlington, SC 29532-0000

Mailing address

PO Box 799
Darlington, SC 29540-0799
Phone (843) 395-0015

Other identifiers

IdentifierTypeStateIssuer
RHC067MedicaidSC

Other providers in Darlington, SC

All providers in Darlington, SC · Pediatrics Physician in South Carolina

Sources for this page

Verify at the official NPI Registry.