| NPI | 1114081072 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RATNA P AMARNATH Owner 803-254-1006 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WG0100X Registered Nurse, Gastroenterology (Licence: SC APN632) |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2020-08-22 |