| NPI | 1275830507 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL B DENENBERG Physician 803-980-5864 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: SC 21599) |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care (Licence: SC 21599) |
| Enumeration Date | 2011-02-23 |
| Last Update Date | 2012-08-31 |