| NPI | 1588845598 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LANE A WILNER President 843-665-1280 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: SC 19078) |
| Enumeration Date | 2007-11-19 |
| Last Update Date | 2013-05-15 |