| NPI | 1467992768 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARION BETANCOURT-ALBRECHT Owner 803-285-8080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: SC MD31279) |
| Additional Taxonomies | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: SC MD31279) |
| Enumeration Date | 2017-03-06 |
| Last Update Date | 2020-07-09 |