| NPI | 1316089485 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REGINA A ROMAN Owner Physician 843-347-5752 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: SC 0390) |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2020-08-22 |