| NPI | 1457922007 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRIMMELL S SIMMONS Medical Staff Coordinator 843-522-5790 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RA0401X Internal Medicine, Addiction Medicine |
| Enumeration Date | 2021-07-06 |
| Last Update Date | 2021-07-06 |