| NPI | 1386290781 |
|---|---|
| Doing Business As | 4 KIDS PEDIATRICS |
| Entity Type | Organization |
| Authorized Contact | MEGAN DESHAZO Chief Medical Officer 205-900-4321 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Enumeration Date | 2019-08-13 |
| Last Update Date | 2019-08-13 |