NPI | 1629053749 |
---|---|
Entity Type | Organization |
Authorized Contact | STEVEN EARL FREEMAN President Owner 864-855-5525 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: SC 18695) |
Enumeration Date | 2005-12-13 |
Last Update Date | 2015-01-15 |