| NPI | 1952373599 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLYN M SULLIVAN Office Manger 864-886-0080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: SC 20860) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: SC 22270) |
| Enumeration Date | 2006-02-07 |
| Last Update Date | 2020-08-22 |