NPI | 1588633275 |
---|---|
Entity Type | Organization |
Authorized Contact | SANDY RAMIREZ Practice Manager 803-794-3243 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: SC 17961) |
Enumeration Date | 2006-03-15 |
Last Update Date | 2020-08-22 |