Provider Demographics
NPI:1598630931
Name:TOTALITY PEDIATRICS
Entity type:Organization
Organization Name:TOTALITY PEDIATRICS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MOHAMMED
Authorized Official - Middle Name:M
Authorized Official - Last Name:AL GADBAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:843-814-8249
Mailing Address - Street 1:501 SUNSET DR
Mailing Address - Street 2:
Mailing Address - City:MANNING
Mailing Address - State:SC
Mailing Address - Zip Code:29102-2208
Mailing Address - Country:US
Mailing Address - Phone:843-814-8249
Mailing Address - Fax:
Practice Address - Street 1:1026 B POWDERSVILLE RD
Practice Address - Street 2:
Practice Address - City:EASLEY
Practice Address - State:SC
Practice Address - Zip Code:29642-0900
Practice Address - Country:US
Practice Address - Phone:843-814-8249
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-07
Last Update Date:2025-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty