| NPI | 1811008584 |
|---|---|
| Doing Business As | MARTIN PEDIATRIC CLINIC |
| Entity Type | Organization |
| Authorized Contact | CARL THOMAS DOVER Sole Proprietor 252-792-8101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2008-07-16 |