NPI | 1205693991 |
---|---|
Entity Type | Organization |
Authorized Contact | SAMUEL FULTON ERVIN Sr VP & CFO 843-777-2910 |
Organization Subpart ? | Yes |
Primary Taxonomy | 2080P0205X Pediatrics Pediatric Endocrinology |
Additional Taxonomies | 363AM0700X Physician Assistant Medical |
363LF0000X Nurse Practitioner Family | |
Enumeration Date | 2024-02-29 |
Last Update Date | 2024-02-29 |