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 |