| NPI | 1174955439 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN P LAMBERT Practice Manager 843-486-0999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: SC 29692) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: SC 29692) |
| Enumeration Date | 2013-08-08 |
| Last Update Date | 2015-08-10 |