| NPI | 1316242092 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HARRY EUGENE HICKLIN Physician 803-324-4900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Enumeration Date | 2011-01-11 |
| Last Update Date | 2011-03-31 |