| NPI | 1134219223 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOUSTAFA A MOUSTAFA President 803-531-2220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine Nephrology (Licence: SC 17881) |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2013-09-11 |