OrganizationActive
Blue Ridge Pediatrics LLC
NPI 1457324907 · Pediatric Adolescent Medicine Physician · Seneca, SC
Provider details
- NPI number
- 1457324907
- Entity type
- Organization
- Primary specialty
- Pediatric Adolescent Medicine PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Carey Gully, Owner/Physician
- License
- 101794 (SC)
Practice location
457-B Highway 123 Bypass
Seneca, SC 29678
Phone: (864) 888-4464
Fax: (864) 888-4462
Mailing address
457b Highway 123
Seneca, SC 29678-0842
Registry dates
- Enumerated
- 2006-02-07
- Last updated
- 2011-01-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.