| NPI | 1437176872 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERRY VEREEN Practice Administrator 843-667-1891 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2015-09-16 |