Organization
CHILDRENS GROUP PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONI OVANNA BUDHRAM MD (OWNER)
(843) 332-6645
Entity
Organization
Contact information
Practice address
701 MEDICAL PARK DR, SUITE 108, HARTSVILLE, SC 29550-4777
(843) 332-6645
(843) 332-9894
Mailing address
701 MEDICAL PARK DR, SUITE 108, HARTSVILLE, SC 29550-4777
(843) 332-6645
(843) 332-9894
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
28451
SC
Other
Enumeration date
05/14/2010
Last updated
05/14/2010
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