| NPI | 1811159734 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLORIA ANEITA RASHFORD Office Manager 843-696-3752 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: SC 086454) |
| Enumeration Date | 2008-07-01 |
| Last Update Date | 2008-10-16 |