| NPI | 1891735155 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACY B BROWN Bus Office Mgr 803-744-2612 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2011-11-01 |