| NPI | 1801961537 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SIVANTHAN BALACHANDRAN President 843-347-9487 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine Nephrology (Licence: SC 17448) |
| Additional Taxonomies | 207RN0300X Internal Medicine Nephrology (Licence: SC 22373) |
| 207RN0300X Internal Medicine Nephrology (Licence: SC 985) | |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2024-09-25 |