| NPI | 1265615447 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALFRED FLOURNOY BURNSIDE Private Physician/Owner 803-787-1113 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: SC 0334) |
| Enumeration Date | 2007-12-11 |
| Last Update Date | 2007-12-11 |