| NPI | 1932490646 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARRELL C COVEN Director Ambulatory Services Financ 803-296-7301 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Enumeration Date | 2011-04-28 |
| Last Update Date | 2011-08-03 |