| NPI | 1821158122 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT DOUGLAS CONDIE President 843-757-5966 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: SC 15103) |
| Enumeration Date | 2006-12-10 |
| Last Update Date | 2020-08-22 |