| NPI | 1376033829 |
|---|---|
| Doing Business As | GENERATIONS PEDIATRICS AND INTERNAL MEDICINE |
| Entity Type | Organization |
| Authorized Contact | MATTHEW JUSTICE KORNEGAY Managing Partner 843-614-7953 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care |
| Enumeration Date | 2018-05-10 |
| Last Update Date | 2018-05-10 |