| NPI | 1366983637 |
|---|---|
| Former Legal Business Name | PARKSIDE PEDIATRICS |
| Entity Type | Organization |
| Authorized Contact | MELISSA KAY OOSTDYK COO Rdinator, Provider Relations 864-272-0388 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Enumeration Date | 2017-03-20 |
| Last Update Date | 2020-01-30 |