| NPI | 1942394804 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLENN P. GWOZDZ President 843-681-6668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: SC 14617) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2013-07-05 |