| NPI | 1548573322 |
|---|---|
| Doing Business As | CPG INTERNAL MEDICINE MYRTLE TRACE |
| Entity Type | Organization |
| Authorized Contact | MARY ELLEN ARTIOLI Credentialing Specialist 843-234-6946 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207QS0010X Family Medicine Sports Medicine |
| Enumeration Date | 2010-07-21 |
| Last Update Date | 2022-09-27 |