| NPI | 1427214618 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN HERBERT BROOKS Owner 864-579-7831 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207KA0200X Allergy & Immunology, Allergy (Licence: SC 9920) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC 9920) |
| Enumeration Date | 2008-08-06 |
| Last Update Date | 2008-08-13 |