Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Blue Ridge Pediatrics LLC

Organization Rural Health Clinic/Center · NPI 1104130376

Blue Ridge Pediatrics LLC is a Rural Health Clinic/Center in Seneca, South Carolina. Licensed in South Carolina. Registered with an NPI since 2010.

Licensed in
SC
In the registry since
2010
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

457B Highway 123
Seneca, SC 29678-0842
Phone: (864) 888-4464
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Rural Health Clinic/Center (primary) Taxonomy 261QR1300X · Licence 261QR1300X (SC)

Record details

NPI number1104130376
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Carey Gully — Owner · (864) 888-4464
NPI enumeratedJuly 30, 2010
Last updated in NPPESJuly 30, 2010
Mailing address457b Highway 123, Seneca, SC 29678-0842

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