| NPI | 1295224871 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM D. ANDERSON III, Chief Medical Officer 803-545-5005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2018-05-09 |
| Last Update Date | 2018-05-09 |