| NPI | 1144400664 |
|---|---|
| Doing Business As | SUMTER PEDIATRICS |
| Entity Type | Organization |
| Authorized Contact | NELSON T MADRAZO Managing Member 229-924-8082 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: GA 004223) |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2007-11-13 |
| Last Update Date | 2022-01-19 |