| NPI | 1669743357 |
|---|---|
| Doing Business As | MUSC PHYSICIANS PCP PORTS |
| Entity Type | Organization |
| Authorized Contact | KARYN RAE Manager 843-876-1344 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2012-01-26 |
| Last Update Date | 2019-02-01 |