| NPI | 1376733121 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLAN D LIEBERMAN Medical Director 843-572-1600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 2083T0002X Preventive Medicine, Medical Toxicology | |
| 208VP0000X Pain Medicine, Pain Medicine | |
| Enumeration Date | 2007-07-27 |
| Last Update Date | 2007-07-27 |