NPI | 1982756987 |
---|---|
Doing Business As | SUMTER PEDIATRICS |
Entity Type | Organization |
Authorized Contact | NELSON MADRAZO Owner 229-924-8082 |
Organization Subpart ? | No |
Primary Taxonomy | 208000000X Pediatrics |
Additional Taxonomies | 2080P0008X Pediatrics, Neurodevelopmental Disabilities |
363LP0200X Nurse Practitioner, Pediatrics | |
Enumeration Date | 2007-01-18 |
Last Update Date | 2020-08-22 |