| NPI | 1093348518 |
|---|---|
| Doing Business As | CP-NORTHEAST |
| Entity Type | Organization |
| Authorized Contact | PAUL PLANTE Medical Director 803-730-1500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Enumeration Date | 2020-02-13 |
| Last Update Date | 2020-02-13 |