| NPI | 1104867845 |
|---|---|
| Doing Business As | MEDICAL GROUP OF THE CAROLINAS - PEDIATRICS - WESTSIDE |
| Entity Type | Organization |
| Authorized Contact | BRUCE A DAVIS Chief Financial Officer 864-560-6000 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 207W00000X Ophthalmology |
| Enumeration Date | 2006-06-10 |
| Last Update Date | 2024-08-05 |