| 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 |