| NPI | 1639524051 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVELINE ADAMS WARING Owner 843-863-0088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine Endocrinology, Diabetes & Metabolism (Licence: SC 20879) |
| Enumeration Date | 2016-05-04 |
| Last Update Date | 2019-01-09 |