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

Easley Pediatrics PA

Organization Pediatrics Physician · NPI 1710931290

Easley Pediatrics PA is a Pediatrics Physician in Easley, South Carolina. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

800 N A St
Easley, SC 29640
Phone: (864) 855-0001
Fax: (864) 855-5030
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X

Record details

NPI number1710931290
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gary Goudelock — President · (864) 855-0001
NPI enumeratedMay 20, 2006
Last updated in NPPESAugust 22, 2020
Mailing address800 North A St, Easley, SC 29640

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