| NPI | 1346468204 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA MATHEWS-BETTS Md 803-933-0288 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: SC 12184) |
| 207R00000X Internal Medicine | |
| 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: SC 13924) | |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2023-08-17 |