| NPI | 1740502822 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM A. JACKSON CEO 843-724-2952 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology |
| Enumeration Date | 2010-02-17 |
| Last Update Date | 2018-04-05 |