Ridge Pediatrics and Adolescent Center

Organization Specialist · NPI 1013114818

Ridge Pediatrics and Adolescent Center provides Specialist services in Leesville, South Carolina. Licensed in South Carolina. Registered with an NPI since 2007.

Licensed in: SC
In the registry since: 2007

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Practice location Address checks out

338 E Columbia Ave Ste E
Leesville, SC 29070-9285
Phone: (803) 532-2877
Fax: (803) 532-5430

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary)	Taxonomy 174400000X · Licence 12957 (SC)

Record details

NPI number	1013114818
Entity type	Organization (Type 2)
Organization subpart	No
Authorized official	Linda Deloach — Office Manager · (803) 532-2877
NPI enumerated	June 27, 2007
Last updated in NPPES	August 22, 2020
Mailing address	338 E Columbia Ave, Suite E, Leesville, SC 29070-9285