| NPI | 1780866046 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHYAM YALLAPRAGADA Owner 843-572-4774 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: SC 9767) |
| Enumeration Date | 2007-11-28 |
| Last Update Date | 2007-11-30 |