| NPI | 1912912130 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON AUSTIN KNIGHT Office Manager 803-432-8989 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: SC 16224) |
| Enumeration Date | 2006-07-29 |
| Last Update Date | 2012-12-14 |