| NPI | 1285673103 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD MARTIN WASHINGTON President 803-537-1118 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207L00000X Anesthesiology |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2020-08-22 |