| NPI | 1528122884 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS FRANCIS BRADY Member Pediatrican 803-647-1265 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: SC 17166) |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2007-07-09 |