| NPI | 1437588423 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE M SHEPARD Physician 843-637-0525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: SC 23565) |
| Enumeration Date | 2013-11-11 |
| Last Update Date | 2014-04-10 |