| NPI | 1407552730 |
|---|---|
| Doing Business As | NICKLAUS CHILDREN'S AT GALLOWAY |
| Entity Type | Organization |
| Authorized Contact | ROBBIN ANDERSON Payer Credentialing Supervisor 828-707-7385 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Enumeration Date | 2023-02-07 |
| Last Update Date | 2023-02-15 |