| Piedmont Pediatrics LLC | |
|
996 Medical Ridge Road Clinton SC 29325 | |
| (864) 833-5654 | |
| (864) 833-2786 |
| Full Name | Piedmont Pediatrics LLC |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 996 Medical Ridge Road, Clinton, South Carolina |
| Authorized Official Name and Position | Karen Nolen (OFFICE MANAGER) |
| Authorized Official Contact | 8644383143 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Piedmont Pediatrics LLC 996 Medical Ridge Rd Clinton SC 29325-4541 Ph: (864) 833-5654 | Piedmont Pediatrics LLC 996 Medical Ridge Road Clinton SC 29325 Ph: (864) 833-5654 |
| NPI Number | 1083652630 |
|---|---|
| Provider Enumeration Date | 06/04/2006 |
| Last Update Date | 10/05/2026 |
| Certification Date | 10/05/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083652630 | NPI | - | NPPES |
| RHC152 | Medicaid | SC | |
| GP1856 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (NU) | Primary |
| 208000000X | Pediatrics | (NU) | Secondary |
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