NPI | 1699716431 |
---|---|
Doing Business As | PALMETTO PEDIATRICS VILLAGE OF PELHAM |
Entity Type | Organization |
Authorized Contact | JANICE U FOWLER Credentialing Specialist 864-560-4475 |
Organization Subpart ? | Yes |
Primary Taxonomy | 208000000X Pediatrics |
Enumeration Date | 2006-06-10 |
Last Update Date | 2008-04-20 |