| NPI | 1437341294 |
|---|---|
| Doing Business As | BACKUS CHILDREN'S HOSPITAL OUTPATIENT CENTER |
| Entity Type | Organization |
| Authorized Contact | ROBIN J. MADDOX Provider Enrollment Coordinator 912-350-9335 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080P0205X Pediatrics, Pediatric Endocrinology |
| Enumeration Date | 2007-08-15 |
| Last Update Date | 2011-06-01 |