| NPI | 1477690782 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOJMIR J SONEK Owner 803-254-7004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: SC 15829) |
| Additional Taxonomies | 174400000X Specialist |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2016-12-22 |