| NPI | 1124307624 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABIMBOLA EKUNSANMI Practice Administrator 803-326-3000 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 9900209) |
| Enumeration Date | 2011-08-15 |
| Last Update Date | 2011-08-15 |