NPI | 1285667824 |
---|---|
Doing Business As | ANMED PEDIATRICS - FANT STREET |
Entity Type | Organization |
Authorized Contact | STEPHEN JAN GRIGSBY CFO 864-512-1109 |
Organization Subpart ? | No |
Primary Taxonomy | 208000000X Pediatrics |
Enumeration Date | 2006-07-08 |
Last Update Date | 2025-05-23 |