| NPI | 1487715819 |
|---|---|
| Doing Business As | CHA UPSTATE PEDIATRICS |
| Entity Type | Organization |
| Authorized Contact | TAMI C PETTIT Cha Director Physician Services 864-427-0331 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2013-09-16 |