| NPI | 1396207437 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEZMOND SUMTER Physician 803-381-2869 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 202C00000X Independent Medical Examiner |
| Enumeration Date | 2019-04-05 |
| Last Update Date | 2019-04-05 |