| NPI | 1508042201 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN A MADDEN Mbr 803-321-3232 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: SC 12631) |
| Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology (Licence: SC 21440) |
| 2085R0001X Radiology, Radiation Oncology (Licence: SC MD8174) | |
| Enumeration Date | 2008-01-14 |
| Last Update Date | 2008-03-03 |