| NPI | 1003889593 |
|---|---|
| Doing Business As | MEDICAL PLAZA FAMILY MEDICINE |
| Entity Type | Organization |
| Authorized Contact | KENNETH D. BEASLEY Senior Vice President 843-777-7010 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2006-02-07 |
| Last Update Date | 2022-06-03 |