| NPI | 1760483382 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENJAMIN J LEVINSON Manageing Partner 803-749-1111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: SC 11901) |
| Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine (Licence: SC 11481) |
| 207R00000X Internal Medicine (Licence: SC 21980) | |
| 207R00000X Internal Medicine (Licence: SC 11931) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: SC 11871) | |
| 208100000X Physical Medicine & Rehabilitation (Licence: SC 17388) | |
| 208600000X Surgery (Licence: SC 10531) | |
| 363AM0700X Physician Assistant, Medical (Licence: SC MPA 1942 TL) | |
| Enumeration Date | 2005-08-04 |
| Last Update Date | 2024-05-05 |