| NPI | 1194308882 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN OSAGUONA Sole Member 803-722-4001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine |
| Enumeration Date | 2021-04-30 |
| Last Update Date | 2021-04-30 |