| NPI | 1114136694 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES LEROY WELLS President 803-534-3092 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2007-11-25 |