| NPI | 1174521017 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENJAMIN M DUFFEY CEO/Physician 843-235-0760 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: SC 18567) |
| Enumeration Date | 2005-07-13 |
| Last Update Date | 2012-09-21 |