| NPI | 1477031094 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRYSHINDA MILES Director 803-543-8559 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2018-08-06 |
| Last Update Date | 2024-02-07 |