| NPI | 1316937204 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN G MCINVILLE Business Services Representative 843-669-5162 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: SC 22024) |
| Enumeration Date | 2005-10-24 |
| Last Update Date | 2008-04-20 |