| NPI | 1487703104 |
|---|---|
| Other Name | DOC AT THE DOOR |
| Entity Type | Organization |
| Authorized Contact | JOHN JOSEPH FORNEY Owner 843-693-4546 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: SC 23885) |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2008-03-26 |