| NPI | 1174858237 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDY LOON Secretary 843-681-5879 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: SC 15823) |
| Additional Taxonomies | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: SC 15823) |
| Enumeration Date | 2009-10-07 |
| Last Update Date | 2009-10-07 |