| NPI | 1194214775 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM D. ANDERSON III, Chief Medical Officer 803-545-5005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080P0214X Pediatrics, Pediatric Pulmonology |
| Additional Taxonomies | 104100000X Social Worker |
| 133VN1004X Dietitian, Registered, Nutrition, Pediatric | |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2018-05-09 |
| Last Update Date | 2018-05-09 |