| NPI | 1184652794 |
|---|---|
| Doing Business As | PALMETTO PEDIATRIC SPECIALTIES |
| Entity Type | Organization |
| Authorized Contact | GINA MICHELLE HILLERS Credentialing Specialist 864-560-4057 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208800000X Urology |
| Additional Taxonomies | 208000000X Pediatrics |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2008-04-20 |