| NPI | 1407209117 |
|---|---|
| Doing Business As | MPA ER PHYSICIANS CLARENDON |
| Entity Type | Organization |
| Authorized Contact | DANE P. FICCO Senior Vice President 843-777-7010 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine |
| Enumeration Date | 2016-07-18 |
| Last Update Date | 2016-07-18 |