| NPI | 1083872030 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL DAVID BUNN Physician Owner 843-267-1535 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: SC MD11983) |
| Enumeration Date | 2008-05-27 |
| Last Update Date | 2008-07-16 |