| NPI | 1386970333 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA L STONE Practice Manager 843-824-2273 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: SC 23028) |
| Enumeration Date | 2009-10-27 |
| Last Update Date | 2010-03-22 |