| NPI | 1083389589 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLORIA BYRON Cheif Administrative Officer 843-738-4800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207VG0400X Obstetrics & Gynecology, Gynecology | |
| 207ZC0006X Pathology, Clinical Pathology | |
| 225100000X Physical Therapist | |
| Enumeration Date | 2021-08-16 |
| Last Update Date | 2022-12-22 |