| NPI | 1801990494 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEN BEASLEY Sr VP 843-777-7000 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 163WD0400X Registered Nurse, Diabetes Educator (Licence: SC 23029) |
| 207L00000X Anesthesiology | |
| 207R00000X Internal Medicine | |
| 207V00000X Obstetrics & Gynecology | |
| 207X00000X Orthopaedic Surgery | |
| 208000000X Pediatrics | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: SC 10392) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 208600000X Surgery | |
| 208800000X Urology | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2021-06-01 |