| NPI | 1396897286 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELVYN VANROY MAHON CEO Medical Doctor 803-252-1076 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2020-08-22 |