| NPI | 1740460526 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN ANN GRABOWSKI Physician 843-553-0511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: SC 18145) |
| Enumeration Date | 2007-11-08 |
| Last Update Date | 2008-09-24 |