| NPI | 1053954909 |
|---|---|
| Doing Business As | DANIEL ISLAND FAMILY MEDICINE |
| Entity Type | Organization |
| Authorized Contact | SARA ELIZABETH MAYNOR-HARDY Credentialing Manager 843-225-8320 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2019-10-23 |
| Last Update Date | 2019-10-23 |