| NPI | 1730321035 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACY B BROWN Business Office Supervisor 803-744-2612 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Enumeration Date | 2009-04-01 |
| Last Update Date | 2009-04-01 |