| NPI | 1215031653 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARI WILSON Office Manager 843-692-0968 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology |
| 332900000X Non-Pharmacy Dispensing Site | |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2024-10-07 |