| NPI | 1558431874 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY KENNEY GRAY President 843-863-0088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: SC 15784) |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2012-10-17 |