NPI | 1629596853 |
---|---|
Doing Business As | MEMORIAL PEDIATRICS |
Entity Type | Organization |
Authorized Contact | KAREN FAIRCLOTH CFO 229-246-8211 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
Enumeration Date | 2017-09-08 |
Last Update Date | 2017-09-08 |