| NPI | 1073702957 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADEBOLA EDWARD ROJUGBOKAN Physician 843-863-0777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: SC 21082) |
| Enumeration Date | 2007-10-17 |
| Last Update Date | 2008-04-14 |