| NPI | 1578620480 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TINA MARIE MURDAUGH Office Manager 843-726-6773 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: SC 19547) |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2023-03-07 |