| NPI | 1275825994 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLAUDIA PANAMENO Practice Manager 864-225-7401 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207RA0401X Internal Medicine, Addiction Medicine |
| 207RH0002X Internal Medicine, Hospice and Palliative Medicine | |
| Enumeration Date | 2011-05-12 |
| Last Update Date | 2018-10-24 |