| NPI | 1093033847 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DESMOND ERNESTO SMITH Owner/Operator 864-552-0275 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: SC 13551) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: SC 13551) |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: SC 13551) | |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: SD 13551) | |
| Enumeration Date | 2010-05-04 |
| Last Update Date | 2012-02-01 |