| NPI | 1801524392 |
|---|---|
| Doing Business As | EASTSIDE PEDIATRICS, PA |
| Entity Type | Organization |
| Authorized Contact | KRISTI ANN LAWRENCE Director 864-522-8611 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Enumeration Date | 2022-08-11 |
| Last Update Date | 2022-08-29 |