| NPI | 1649209289 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HUGH M LEAVENS Owner 803-649-9200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: SC 17742) |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2010-09-30 |