| NPI | 1134166507 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOY BRYANT Credentialing Manager 803-324-5135 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2024-02-20 |