| NPI | 1467618298 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN ALEXANDER CORONTZES President 843-347-9099 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: SC 13931) |
| Enumeration Date | 2008-07-31 |
| Last Update Date | 2013-02-08 |