| NPI | 1881837185 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT J. OLIVERIO VP/CEO Rsfpp 843-724-2903 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2009-04-16 |
| Last Update Date | 2024-03-17 |