| NPI | 1033506340 |
|---|---|
| Doing Business As | OCILLA PEDIATRICS |
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER DORMAN President/CEO 229-353-6104 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: GA 064200) |
| Enumeration Date | 2015-04-24 |
| Last Update Date | 2022-06-24 |