| NPI | 1669573119 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REYNALDO MATUTE Physician 843-293-2700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: SC 27909) |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2020-08-22 |