| NPI | 1386728483 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS J SULLIVAN Physician/Owner 864-225-9566 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2007-10-11 |