| NPI | 1053337626 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY MILLER Partner 843-571-2939 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Additional Taxonomies | 163W00000X Registered Nurse |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2013-02-21 |