NPI | 1194116707 |
---|---|
Entity Type | Organization |
Authorized Contact | LISSA C LARA CEO 843-412-1590 |
Organization Subpart ? | No |
Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: SC 36116) |
Enumeration Date | 2015-02-18 |
Last Update Date | 2015-02-18 |