| NPI | 1811087539 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEANNA ELLINGTON CHEEK Owner 843-573-0858 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: SC 14170) |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2007-11-21 |