| NPI | 1831764927 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRIMMELL S SIMMONS Medical Staff COO Rdinator 843-522-5790 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease |
| Enumeration Date | 2021-05-21 |
| Last Update Date | 2021-05-21 |