| NPI | 1497857742 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN RAWL Manager 803-358-6762 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease |
| Additional Taxonomies | 261QS1200X Clinic/Center Sleep Disorder Diagnostic |
| Enumeration Date | 2006-09-05 |
| Last Update Date | 2008-02-07 |