| NPI | 1174506497 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID WILLIAM GAVIN Office Manager 803-790-4700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: SC 14628) |
| Enumeration Date | 2005-11-21 |
| Last Update Date | 2007-10-16 |