| NPI | 1912400300 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL P BOUKNIGHT President/Owner 803-888-2282 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: SC 17456) |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: SC 17456) |
| Enumeration Date | 2018-03-13 |
| Last Update Date | 2022-06-27 |