| NPI | 1619163953 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | SHAWN GHENT Medical Director 803-358-0158 | 
| Organization Subpart ? | Yes | 
| Primary Taxonomy | 207RS0012X Internal Medicine, Sleep Medicine (Licence: SC 14529) | 
| Enumeration Date | 2007-09-20 | 
| Last Update Date | 2007-09-20 |