| NPI | 1518693605 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNELL HOFFMAN Administrator 803-324-5135 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease |
| Enumeration Date | 2022-07-29 |
| Last Update Date | 2022-07-29 |