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 |