| NPI | 1346833290 |
|---|---|
| Doing Business As | CMG SOUTHSIDE PEDIATRIC CENTER |
| Entity Type | Organization |
| Authorized Contact | SONYA R T DAVIS Director Revenue Cycle 434-200-6942 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics |
| Enumeration Date | 2021-02-11 |
| Last Update Date | 2021-02-11 |