NPI | 1124481296 |
---|---|
Entity Type | Organization |
Authorized Contact | SHAWN EVAN HALLINAN Administrator 843-293-5100 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: SC 14089) |
Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: SC 14089) |
Enumeration Date | 2016-04-05 |
Last Update Date | 2016-04-05 |