| NPI | 1265898191 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARLENE THORNHILL Billing Manager 843-668-2376 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease |
| Enumeration Date | 2016-01-07 |
| Last Update Date | 2018-05-17 |