| NPI | 1578585428 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DALE RUTLEDGE HAMRICK Owner 803-462-0376 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: SC 18571) |
| Enumeration Date | 2006-07-23 |
| Last Update Date | 2007-11-05 |