| NPI | 1679562805 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE SHEA Office Manager 843-763-3360 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease |
| Enumeration Date | 2005-10-20 |
| Last Update Date | 2020-08-22 |