| NPI | 1548413453 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARYN RAE Director 843-876-1344 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine |
| Additional Taxonomies | 2080P0203X Pediatrics, Pediatric Critical Care Medicine |
| Enumeration Date | 2008-10-23 |
| Last Update Date | 2008-10-23 |