| NPI | 1619069481 |
|---|---|
| Other Name | CAROLINA DIABETES & KIDNEY CENTER |
| Entity Type | Organization |
| Authorized Contact | PUSADEE SUCHINDA Owner, Sec/Treas 803-469-7500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: SC 20072) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: SC 23697) |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: SC 10500) | |
| 207RN0300X Internal Medicine, Nephrology (Licence: SC 10273) | |
| 207RN0300X Internal Medicine, Nephrology (Licence: SC 08460) | |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2020-08-22 |