| NPI | 1871538397 |
|---|---|
| Doing Business As | MEDICAL PARK PEDIATRICS |
| Entity Type | Organization |
| Authorized Contact | DARRELL C COVEN Director Of Business Dev., Finance 803-296-7301 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics |
| Enumeration Date | 2006-06-18 |
| Last Update Date | 2007-12-27 |