| NPI | 1013332600 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER ASHLEY HARMON Office Manager 803-646-5003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: SC 18256) |
| Enumeration Date | 2014-02-19 |
| Last Update Date | 2014-02-19 |