| NPI | 1073549572 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAWADEE SITTI Owner 843-669-5956 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: SC 11343) |
| Additional Taxonomies | 174400000X Specialist |
| Enumeration Date | 2006-06-25 |
| Last Update Date | 2013-01-10 |