| NPI | 1699964569 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GUY SAMUEL FASCIANA Office Administrator 864-220-8000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: SC 11118) |
| Enumeration Date | 2007-10-17 |
| Last Update Date | 2007-10-17 |