| NPI | 1699071746 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEG KWIECINSKI Business Office Manager 803-905-6944 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
| Enumeration Date | 2011-02-08 |
| Last Update Date | 2022-12-29 |