| NPI | 1962478644 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRY A BELDEN Owner/Md 843-449-5243 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2006-02-23 |
| Last Update Date | 2010-06-22 |