NPI | 1295089928 |
---|---|
Other Name | MMCS |
Entity Type | Organization |
Authorized Contact | LORELI MUNFORD Owner 803-439-8643 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: SC 28414) |
Additional Taxonomies | 208000000X Pediatrics (Licence: SC 28414) |
Enumeration Date | 2012-11-02 |
Last Update Date | 2025-09-22 |