NPI | 1447975966 |
---|---|
Doing Business As | LOWCOUNTRY PEDIATRICS |
Entity Type | Organization |
Authorized Contact | TONY MEGNA CEO 803-254-3676 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2022-10-06 |
Last Update Date | 2024-07-29 |