| NPI | 1871687798 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FREDIA M. TARLTON Office Manager 803-254-2786 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: SC 9283) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2008-01-11 |