| NPI | 1407022189 |
|---|---|
| Doing Business As | CHA UPSTATE PEDIATRICS |
| Entity Type | Organization |
| Authorized Contact | TAMI C PETTIT Cha Director Physician Services 864-427-0331 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Enumeration Date | 2008-05-02 |
| Last Update Date | 2012-08-17 |