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

Ridge Pediatrics and Adolescent Center

Organization Specialist · NPI 1013114818

Ridge Pediatrics and Adolescent Center is a Specialist in Leesville, South Carolina. Licensed in South Carolina. Registered with an NPI since 2007.

Licensed in
SC
In the registry since
2007

Practice location Address checks out

338 E Columbia Ave Ste E
Leesville, SC 29070-9285
Phone: (803) 532-2877
Fax: (803) 532-5430
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 12957 (SC)

Record details

NPI number1013114818
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Linda Deloach — Office Manager · (803) 532-2877
NPI enumeratedJune 27, 2007
Last updated in NPPESAugust 22, 2020
Mailing address338 E Columbia Ave, Suite E, Leesville, SC 29070-9285