| NPI | 1962995100 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALYSSA M. DEGNAN Physician / Owner 803-226-0343 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: SC DO689) |
| Enumeration Date | 2018-06-12 |
| Last Update Date | 2023-02-08 |