| NPI | 1649548132 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEANNE OWENS Credentialing Coordinator 843-527-3428 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology |
| Enumeration Date | 2011-12-12 |
| Last Update Date | 2011-12-12 |