| NPI | 1093585044 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOLINDA L PHILLIPS Sr Analyst Of Revenue Cycle 843-572-7727 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
| Enumeration Date | 2024-01-02 |
| Last Update Date | 2024-01-02 |