NPI | 1972149169 |
---|---|
Doing Business As | PRIME TIME PEDIATRICS |
Entity Type | Organization |
Authorized Contact | DAVID R SPRAYBERRY CEO 706-705-4543 |
Organization Subpart ? | No |
Primary Taxonomy | 208000000X Pediatrics |
Enumeration Date | 2019-11-22 |
Last Update Date | 2019-11-22 |