| NPI | 1609654714 |
|---|---|
| Doing Business As | MEDLIFE IM-PCP |
| Entity Type | Organization |
| Authorized Contact | VIPIN VERMA Manager 864-745-8767 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Enumeration Date | 2023-09-19 |
| Last Update Date | 2024-04-30 |