| NPI | 1578890273 |
|---|---|
| Doing Business As | PH DEVELOPMENTAL PEDIATRICS |
| Entity Type | Organization |
| Authorized Contact | KRISTI ANN LAWRENCE Director Provider Enrollment & Cvo 864-522-8611 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics |
| Enumeration Date | 2009-11-17 |
| Last Update Date | 2024-02-23 |