| NPI | 1427598580 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS CONSTANTINE MEXAS Do/Owner 843-222-9038 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 2083P0011X Preventive Medicine, Undersea and Hyperbaric Medicine |
| Enumeration Date | 2017-03-08 |
| Last Update Date | 2017-03-08 |