NPI | 1164174124 |
---|---|
Entity Type | Organization |
Authorized Contact | KRYSHINDA MILES Director, Payer Contracting Operati 803-543-8559 |
Organization Subpart ? | No |
Primary Taxonomy | 207L00000X Anesthesiology |
Additional Taxonomies | 207R00000X Internal Medicine |
Enumeration Date | 2022-01-21 |
Last Update Date | 2024-02-06 |