NPI | 1821769290 |
---|---|
Entity Type | Organization |
Authorized Contact | ANDREA HURLEY Practice Administrator 843-200-7721 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine |
Additional Taxonomies | 207Q00000X Family Medicine |
Enumeration Date | 2021-09-24 |
Last Update Date | 2021-09-24 |