| NPI | 1760083562 |
|---|---|
| Doing Business As | VIDUYA FAMILY PRACTICE |
| Entity Type | Organization |
| Authorized Contact | SARA ELIZABETH MAYNOR-HARDY Credentialing Manager 843-225-8320 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2020-11-06 |
| Last Update Date | 2020-11-06 |