| NPI | 1124222807 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACY B BROWN Bus. Office Supervisor 803-744-2612 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2011-11-01 |