| NPI | 1558928614 |
|---|---|
| Doing Business As | CHARLES TOWNE PEDIATRICS |
| Entity Type | Organization |
| Authorized Contact | SARA ELIZABETH MAYNOR-HARDY Credentialing Manager 843-225-8320 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics |
| Enumeration Date | 2019-05-23 |
| Last Update Date | 2019-05-23 |