NPI 1508112459 · live from the CMS NPI Registry
Baptist Easley
Pediatrics in Greenville, SC. National Provider Identifier 1508112459, active.
NPI record
| NPI | 1508112459 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Pediatrics 208000000X |
| Practice location | 11402 Anderson Rd, Greenville, SC 29611 |
| Practice phone | 864-631-2799 |
| Mailing address | 1 Independence PT, Suite 212, Greenville, SC 29615 |
| Enumerated | July 30, 2012 |
| Last updated | November 28, 2012 |
| Authorized official | James Pope, Finance Director/Cfo |
| Other names | Medical Center Powdersville |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Emergency Medicine | 207P00000X | — |
| Family Medicine | 207Q00000X | — |
| Internal Medicine | 207R00000X | — |
| Orthopaedic Surgery | 207X00000X | — |
| Surgery | 208600000X | — |
| Pediatrics primary | 208000000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.