| NPI | 1912956749 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IZARD R IZARD President 803-736-2530 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: SC 9044) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: SC 12878) |
| Enumeration Date | 2006-05-09 |
| Last Update Date | 2020-08-22 |