| NPI | 1508846593 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EWA B. MARCINKOWSKA Physician Owner 843-448-3050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: SC 24043) |
| Enumeration Date | 2006-01-18 |
| Last Update Date | 2015-06-05 |