| NPI | 1932376118 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA P MATTHEWS Office Manager 843-664-8882 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: SC MD10962) |
| Enumeration Date | 2008-05-15 |
| Last Update Date | 2008-05-15 |