| NPI | 1326816877 |
|---|---|
| Doing Business As | SRMC IP PEDS CARE |
| Entity Type | Organization |
| Authorized Contact | CHARLES THOMAS JOHNSON Cro 910-671-5083 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Enumeration Date | 2023-12-14 |
| Last Update Date | 2023-12-14 |