| NPI | 1053507509 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANCIS JOSEPH CONDON Doctor 843-921-9270 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: SC TL28496) |
| Enumeration Date | 2007-09-19 |
| Last Update Date | 2007-10-18 |