| NPI | 1124901806 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEREMY ALLEN RHODES Owner 843-495-6674 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2025-07-29 |
| Last Update Date | 2025-07-29 |