| NPI | 1265966337 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MADHAVI AKKINENI Owner 843-466-8000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: SC 33988) |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: SC 33988) |
| Enumeration Date | 2017-04-16 |
| Last Update Date | 2017-04-16 |