| NPI | 1003915877 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BERNARD JOHN KULE Owner/President 803-644-7033 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: SC 17237) |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2008-01-08 |