Pee Dee Health Care, PA

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

PEE DEE HEALTH CARE, PA

Practice address

201 Cashua St
Darlington, SC 29532-3301

Phone

(843) 393-7452

Fax

(803) 254-3678

NPI assigned

Jan 4, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Tony R Megna, JD

Title

Ceo

Phone

(803) 254-3676

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1262563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270425600000",
    "number": "1649500273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 WEST AVE",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292036901",
            "telephone_number": "803-254-3676",
            "fax_number": "803-254-3678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 CASHUA ST",
            "city": "DARLINGTON",
            "state": "SC",
            "postal_code": "295323301",
            "telephone_number": "843-393-7452",
            "fax_number": "803-254-3678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEE DEE HEALTH CARE, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-04",
        "last_updated": "2010-04-05",
        "status": "A",
        "authorized_official_last_name": "MEGNA",
        "authorized_official_first_name": "TONY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "803-254-3676",
        "authorized_official_credential": "JD"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mona Ghanshyambhai Patel
• Michael Lewis Payne
• Pee Dee Health Care
• Pee Dee Health Care, PA
• Pee Dee Health Care, PA
• Pee Dee Health Care, PA
• Pee Dee Health Care, PA
• Pee Dee Healthcare
• Pee Dee Healthcare PA
• Pee Dee Kids LLC

• All providers in Darlington, SC
• Rural Health Clinic/Center in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.