| NPI | 1245202217 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN CLAUDE COLLINS Managing Partner 803-642-9204 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: SC 11083) |
| Enumeration Date | 2006-02-03 |
| Last Update Date | 2011-06-23 |