| NPI | 1245392208 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REYNALDO MATUTE CEO 843-357-3334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: SC 27909) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC 27909) |
| Enumeration Date | 2006-12-15 |
| Last Update Date | 2014-12-18 |