| NPI | 1528365111 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELANEY G ODOM Administrator 843-682-2934 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: SC 26860) |
| Additional Taxonomies | 207RS0012X Internal Medicine, Sleep Medicine (Licence: SC 26860) |
| Enumeration Date | 2011-02-17 |
| Last Update Date | 2011-02-17 |