NPI | 1114398377 |
---|---|
Doing Business As | MPA IC PHYSICIANS |
Entity Type | Organization |
Authorized Contact | DANE P. FICCO Senior Vice President 843-777-7000 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
Enumeration Date | 2015-10-14 |
Last Update Date | 2015-10-14 |