MONCKS CORNER PEDIATRICS LLC — Medicare Enrolled Provider (PART B SUPPLIER - CLINIC/GROUP PRACTICE, SC)
MONCKS CORNER PEDIATRICS LLC — Medicare Enrolled Provider (PART B SUPPLIER - CLINIC/GROUP PRACTICE, SC) is one of 9,000 enrolled providers in the MedicareEnroll dataset. Key details — Name: MONCKS CORNER PEDIATRICS LLC; Type: Organization; NPI: 1003070103.
| Name | MONCKS CORNER PEDIATRICS LLC |
|---|---|
| Type | Organization |
| NPI | 1003070103 |
| Provider type | PART B SUPPLIER - CLINIC/GROUP PRACTICE |
| State | SC |
| Enrollment ID | O20090423000571 |
| Multiple NPI flag | N |
| Source | CMS Medicare FFS Public Provider Enrollment (PECOS) |
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