| NPI | 1235994583 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIE PRICE CEO 843-452-9628 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207K00000X Allergy & Immunology |
| 207KA0200X Allergy & Immunology Allergy | |
| 207RG0300X Internal Medicine Geriatric Medicine | |
| 207RR0500X Internal Medicine Rheumatology | |
| Enumeration Date | 2024-02-15 |
| Last Update Date | 2024-02-15 |