| NPI | 1730229808 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARLA M BROWN Office Manager 864-582-6858 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: SC 19596) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: SC 19596) |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: SC 19596) | |
| 207R00000X Internal Medicine (Licence: SC 19596) | |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2012-06-11 |