| NPI | 1609825561 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARY ERWIN FECHTER Owner 843-795-1025 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: SC 10847) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC 10847) |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: SC 10847) | |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: SC 10847) | |
| Enumeration Date | 2006-05-09 |
| Last Update Date | 2010-12-27 |