NPI | 1790845675 |
---|---|
Entity Type | Organization |
Authorized Contact | MARCUS E BLACKSTONE President 864-963-8002 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: SC 15537) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC 18747) |
Enumeration Date | 2006-12-11 |
Last Update Date | 2012-06-18 |