| NPI | 1801327176 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS A LOFE CEO 843-393-9925 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2017-03-27 |
| Last Update Date | 2017-03-27 |