NPI | 1790735975 |
---|---|
Doing Business As | MONCKS CORNER PRIMARY CARE |
Entity Type | Organization |
Authorized Contact | LINDA C SHOEMAKER COO 843-937-8101 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine |
Additional Taxonomies | 208000000X Pediatrics |
Enumeration Date | 2006-05-11 |
Last Update Date | 2008-09-15 |