| NPI | 1538471826 |
|---|---|
| Doing Business As | PEDIATRIC UROLOGY ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | CHERYL M FAIRLEY Vice President Network Operations 864-605-3755 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2088P0231X Urology, Pediatric Urology |
| Enumeration Date | 2010-07-02 |
| Last Update Date | 2014-04-16 |