| NPI | 1508302308 |
|---|---|
| Doing Business As | PRIMARY CARE AT SANTEE COOPER |
| Entity Type | Organization |
| Authorized Contact | BRAD MCINTOSH Office Manager 803-433-7444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2017-01-17 |
| Last Update Date | 2017-01-17 |