| NPI | 1306845904 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NAGEEN A VEERABAGU Administrator 864-224-8689 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
| Enumeration Date | 2005-07-18 |
| Last Update Date | 2025-07-17 |