| 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 | 2024-01-31 |