NPI | 1285692681 |
---|---|
Entity Type | Organization |
Authorized Contact | THOMAS DANDRIDGE President 803-395-2200 |
Organization Subpart ? | No |
Primary Taxonomy | 208000000X Pediatrics |
Additional Taxonomies | 207Q00000X Family Medicine |
Enumeration Date | 2006-05-03 |
Last Update Date | 2010-05-26 |