| NPI | 1417155037 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDGAR VICTOR ARCHAMBEAU President 843-237-8231 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: SC 13990) |
| Enumeration Date | 2007-07-05 |
| Last Update Date | 2012-02-22 |