| NPI | 1245625086 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAY WALDRUP CEO 843-572-4840 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine Rheumatology (Licence: GA 18391 SC) |
| Enumeration Date | 2015-03-30 |
| Last Update Date | 2017-01-17 |