| NPI | 1447892575 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL P IAQUINTA President 843-785-3006 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2019-10-10 |
| Last Update Date | 2022-08-02 |