OrganizationActive
Elm Pediatrics, LLC
NPI 1255009163 · Primary Care Clinic/Center · Lake City, SC
Provider details
- NPI number
- 1255009163
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Heather Brown, Practice Administrator(843) 977-7337
Specialties & taxonomies
Ambulatory Health Care Facilities
- Family Nurse Practitioner363LF0000X
Physician Assistants & Advanced Practice Nursing Providers
- Pediatric Nurse Practitioner363LP0200X
Physician Assistants & Advanced Practice Nursing Providers
Practice location
800 W Main St
Lake City, SC 29560-4400
Phone: (843) 977-7337
Fax: (843) 956-5415
Approximate (ZIP-level) locationGet directions
Mailing address
800 W Main St
Lake City, SC 29560-4400
Registry dates
- Enumerated
- 2021-09-03
- Last updated
- 2023-08-16
- Certified
- 2023-08-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.