NPI | 1538658687 |
---|---|
Entity Type | Organization |
Authorized Contact | WILLIAM D. ANDERSON III, Chief Medical Officer 803-545-5005 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine |
Additional Taxonomies | 363L00000X Nurse Practitioner |
Enumeration Date | 2018-05-04 |
Last Update Date | 2018-05-04 |