| NPI | 1336140615 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARLINGTON I HART Medical Director 803-909-4060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: SC 19950) |
| Enumeration Date | 2005-08-09 |
| Last Update Date | 2010-09-22 |