| NPI | 1982352415 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN CASEY Medical Director 843-706-7090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine Infectious Disease |
| Enumeration Date | 2022-03-14 |
| Last Update Date | 2022-03-14 |