| NPI | 1619949435 |
|---|---|
| Doing Business As | PEDIATRIC ASSOCIATES OF FLORENCE |
| Entity Type | Organization |
| Authorized Contact | KENNETH D. BEASLEY Senior Vice President 843-777-7010 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics |
| Enumeration Date | 2006-02-06 |
| Last Update Date | 2022-06-03 |