NPI | 1831182187 |
---|---|
Doing Business As | PEACE HAVEN PEDIATRICS |
Entity Type | Organization |
Authorized Contact | LEWIS S THORP President CEO 336-721-3900 |
Organization Subpart ? | Yes |
Primary Taxonomy | 208000000X Pediatrics |
Enumeration Date | 2005-08-23 |
Last Update Date | 2008-04-10 |