| NPI | 1508336157 |
|---|---|
| Other Name | PEDIATRIC |
| Entity Type | Organization |
| Authorized Contact | MARILYN TATHAM Provider Enrollment Manager 828-651-6595 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 207SG0201X Medical Genetics, Clinical Genetics (M.D.) |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine | |
| 2080P0202X Pediatrics, Pediatric Cardiology | |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine | |
| 2080P0206X Pediatrics, Pediatric Gastroenterology | |
| 2080P0207X Pediatrics, Pediatric Hematology-Oncology | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry | |
| Enumeration Date | 2018-11-27 |
| Last Update Date | 2018-12-05 |