| NPI | 1609986769 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUDHIRKUMAR PATEL Owner 864-271-3930 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: SC 7609) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC 14686) |
| 207R00000X Internal Medicine (Licence: SC 19946) | |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2008-03-05 |