NPI | 1649261462 |
---|---|
Entity Type | Organization |
Authorized Contact | PAUL PRIDMORE COO 864-941-8100 |
Organization Subpart ? | No |
Primary Taxonomy | 207SG0201X Medical Genetics, Clinical Genetics (M.D.) |
Additional Taxonomies | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics |
Enumeration Date | 2005-11-01 |
Last Update Date | 2022-02-10 |