| NPI | 1285678078 |
|---|---|
| Other Name | PH MEDICAL GROUP MIDLANDS |
| Entity Type | Organization |
| Authorized Contact | JAMES ELLIS Chief Integration Officer 803-545-5048 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080P0208X Pediatrics, Pediatric Infectious Diseases |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2020-09-11 |