| NPI | 1780823187 |
|---|---|
| Doing Business As | CHA UPSTATE PEDIATRICS |
| Entity Type | Organization |
| Authorized Contact | TAMI C PETTIT Cha Director Physician Services 864-427-4081 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine |
| Enumeration Date | 2009-02-10 |
| Last Update Date | 2013-09-16 |