| NPI | 1093178469 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT OLIVERIO VP 843-724-2903 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2016-04-01 |
| Last Update Date | 2021-08-30 |