NPI | 1891745709 |
---|---|
Entity Type | Organization |
Authorized Contact | MARK JOSEPH KRZYSTON Physician 803-534-8723 |
Organization Subpart ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: SC 12677) |
Enumeration Date | 2006-05-11 |
Last Update Date | 2010-12-13 |