Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0207X | Pediatric Hematology-Oncologist | 26828 | SC |
NPI | 1144297623 |
---|---|
Provider Name | Laura M Pirich |
First Address | Atlanta, GA 30374-3904 |
Second Address | Columbia, SC 29203-6863 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/03/2006 |
Last Update Date | 15/01/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
268285 | (05) | SC |
H36852 | (02) | SC |