| NPI | 1952482952 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES W. JOHNSON Medical Doctor 843-347-7227 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: SC 4459) |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2009-11-18 |