| NPI | 1104013663 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL PRIDMORE COO 864-941-8100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207SG0201X Medical Genetics, Clinical Genetics (M.D.) |
| Additional Taxonomies | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics |
| Enumeration Date | 2007-09-28 |
| Last Update Date | 2022-02-10 |