| NPI | 1710922703 |
|---|---|
| Doing Business As | PEDIATRIC NUTRITION AND SPECIAL NEEDS |
| Entity Type | Organization |
| Authorized Contact | SUSAN BRUCE Credentialing Specialist 864-560-4057 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Enumeration Date | 2006-06-17 |
| Last Update Date | 2020-08-22 |