NPI | 1144630716 |
---|---|
Doing Business As | SUMMERVILLE FAMILY PRACTICE ASSOCIATES |
Entity Type | Organization |
Authorized Contact | THOMAS BRANTLEY ARNAU President 843-572-7727 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2014-05-05 |
Last Update Date | 2021-06-01 |