NPI | 1144299470 |
---|---|
Doing Business As | HOPE CLINIC LLC |
Entity Type | Organization |
Authorized Contact | ASANTE WAGNER Credentialing Specialist 843-408-4171 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: SC 20234) |
Enumeration Date | 2006-03-17 |
Last Update Date | 2017-06-09 |