| NPI | 1225188311 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GHAZALA JAVED Owner Physician 843-797-3711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: SC 14394) |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2008-04-20 |