Healthcare Provider Details

I. General information

NPI: 1598630931
Provider Name (Legal Business Name): TOTALITY PEDIATRICS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/07/2025
Last Update Date: 10/07/2025
Certification Date: 09/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1026 B POWDERSVILLE RD
EASLEY SC
29642-0900
US

IV. Provider business mailing address

501 SUNSET DR
MANNING SC
29102-2208
US

V. Phone/Fax

Practice location:
  • Phone: 843-814-8249
  • Fax:
Mailing address:
  • Phone: 843-814-8249
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: DR. MOHAMMED M AL GADBAN
Title or Position: OWNER
Credential: MD
Phone: 843-814-8249