NPI | 1205867785 |
---|---|
Doing Business As | IRMO FAMILY PRACTICE |
Entity Type | Organization |
Authorized Contact | DARRELL C COVEN Director Of Business Dev., Finance 803-296-7301 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2006-07-05 |
Last Update Date | 2007-12-27 |