BLUE RIDGE PEDIATRICS LLC

SENECA, SC
NPI1154450757
Entity TypeOrganization
Authorized ContactCAREY MOLIN GULLY
Owner
864-888-4464
Organization Subpart ?No
Primary Taxonomy261QR1300X Clinic/Center, Rural Health
Enumeration Date2007-03-02
Last Update Date2009-06-30
Business Address
BLUE RIDGE PEDIATRICS LLC
457 B HWY 123 BYPASS
SENECA, SC 29678
Phone number: 864-888-4464
Mailing Address
BLUE RIDGE PEDIATRICS LLC
457-B HWY 123 BYPASS
SENECA, SC 29678-0947
Phone number: 864-888-4464
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