| NPI | 1881795557 |
|---|---|
| Doing Business As | CROSSRIDGE PEDIATRICS & INTERNAL MEDICINE |
| Entity Type | Organization |
| Authorized Contact | WILBUR GAY CFO 864-561-7672 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: VA 0101054649) |
| Additional Taxonomies | 207RA0000X Internal Medicine, Adolescent Medicine |
| 208000000X Pediatrics | |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2020-09-03 |