OrganizationActive
South Carolina Pediatrics Alliance, LLC
NPI 1184016941 · Pediatric Adolescent Medicine Physician · Columbia, SC
Provider details
- NPI number
- 1184016941
- Entity type
- Organization
- Primary specialty
- Pediatric Adolescent Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Sarah Grubbs, Cfo(803) 788-6146
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
601 Clemson Rd
Columbia, SC 29229-4341
Phone: (803) 788-6146
Fax: (803) 462-0312
Approximate (ZIP-level) locationGet directions
Mailing address
601 Clemson Rd
Columbia, SC 29229-4341
Registry dates
- Enumerated
- 2015-03-03
- Last updated
- 2019-07-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.