OrganizationActive
Focus Sc 1009, LLC
NPI 1871924167 · Pediatric Adolescent Medicine Physician · Mt Pleasant, SC
Provider details
- NPI number
- 1871924167
- Entity type
- Organization
- Primary specialty
- Pediatric Adolescent Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- James Wiley, Owner(251) 301-8276
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
- Pediatrics Physician208000000X
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
900 Bowman Rd
Suite 303
Mt Pleasant, SC 29464
Phone: (843) 593-9332
Approximate (ZIP-level) locationGet directions
Mailing address
900 Bowman Rd
Mt. Pleasant, SC 29464
Registry dates
- Enumerated
- 2013-12-11
- Last updated
- 2017-04-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.