| NPI | 1922051879 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA M LABOONE Physician 803-256-3534 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: SC 12610) |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2022-10-27 |