| NPI | 1649526997 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUNEETHA K MORTHALA Owner 803-462-2884 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: SC 28893) |
| Enumeration Date | 2012-07-24 |
| Last Update Date | 2013-06-28 |