| NPI | 1770857005 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARLA M BROWN Office Manager 864-582-6858 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: SC 3052) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: SC 30502) |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: SC 30502) | |
| Enumeration Date | 2012-03-05 |
| Last Update Date | 2012-04-12 |