| NPI | 1124442611 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVAN HALLINAN Administrator 803-410-4569 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Enumeration Date | 2014-02-05 |
| Last Update Date | 2014-04-27 |