NPI | 1801955141 |
---|---|
Doing Business As | AYNOR FAMILY PRACTICE |
Doing Business As | AYNOR FAMILY MEDICINE |
Entity Type | Organization |
Authorized Contact | MARY ELLEN ARTIOLI Credentialing Specialist 843-234-6946 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: SC 828) |
363AM0700X Physician Assistant, Medical | |
363LF0000X Nurse Practitioner, Family | |
Enumeration Date | 2006-12-06 |
Last Update Date | 2021-04-28 |