| NPI | 1003918178 |
|---|---|
| Doing Business As | SOUTH PARK PEDIATRICS |
| Entity Type | Organization |
| Authorized Contact | DINESH S. PAI VP Of Operations 704-384-9104 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Enumeration Date | 2006-09-01 |
| Last Update Date | 2008-07-17 |