| NPI | 1376610360 |
|---|---|
| Doing Business As | UNIVERSITY PEDIATRICS |
| Entity Type | Organization |
| Authorized Contact | ROBIN J. MADDOX Provider Enrollment Coordinator 912-350-9335 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 2080P0203X Pediatrics, Pediatric Critical Care Medicine |
| 2080P0205X Pediatrics, Pediatric Endocrinology | |
| 2080P0207X Pediatrics, Pediatric Hematology-Oncology | |
| 2080P0208X Pediatrics, Pediatric Infectious Diseases | |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2011-06-01 |