| NPI | 1609170901 |
|---|---|
| Doing Business As | UNIVERSITY PEDIATRICS |
| Entity Type | Organization |
| Authorized Contact | ROBIN J. MADDOX Provider Enrollment Coordinator 912-350-9335 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology |
| Enumeration Date | 2010-12-29 |
| Last Update Date | 2011-06-01 |