| NPI | 1811296239 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | POLLY B PRICE Billing Administrator 843-669-5162 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: SC 331) |
| Enumeration Date | 2011-03-24 |
| Last Update Date | 2016-03-10 |