| NPI | 1639682420 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT A FAILE Vice President 843-856-7923 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 2080P0207X Pediatrics, Pediatric Hematology-Oncology |
| Enumeration Date | 2017-11-15 |
| Last Update Date | 2017-11-15 |