| NPI | 1174963466 |
|---|---|
| Doing Business As | DAVIDSON PEDIATRIC & ADOLESCENT MEDICINE |
| Entity Type | Organization |
| Authorized Contact | ROBERTS EDGAR TIMBERLAKE Member, Co Manager 336-300-8594 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Enumeration Date | 2013-07-01 |
| Last Update Date | 2015-02-03 |