NPI | 1043267263 |
---|---|
Doing Business As | PALMETTO PEDIATRICS - NORTH GROVE |
Entity Type | Organization |
Authorized Contact | SUSAN BRUCE Credentialing Specialist 864-560-4057 |
Organization Subpart ? | No |
Primary Taxonomy | 208000000X Pediatrics |
Enumeration Date | 2006-05-31 |
Last Update Date | 2020-08-22 |