| NPI | 1013963982 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LASHANDA MAYBERRY Credential Coordinator 864-573-6320 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2023-03-15 |