NPI | 1932436631 |
---|---|
Doing Business As | UNIVERSITY MEDICAL GROUP |
Entity Type | Organization |
Authorized Contact | KRISTI ANN LAWRENCE Director Provider Enrollment 864-385-4790 |
Organization Subpart ? | No |
Primary Taxonomy | 2080P0205X Pediatrics, Pediatric Endocrinology |
Enumeration Date | 2009-11-17 |
Last Update Date | 2020-05-15 |