NPI | 1427809664 |
---|---|
Entity Type | Organization |
Authorized Contact | LIA HOOD Sr. Manger, Credentialing 843-790-8280 |
Organization Subpart ? | No |
Primary Taxonomy | 207RH0003X Internal Medicine Hematology & Oncology |
Additional Taxonomies | 207RH0000X Internal Medicine Hematology |
207RX0202X Internal Medicine Medical Oncology | |
Enumeration Date | 2024-03-27 |
Last Update Date | 2024-09-09 |