1800DOCTORB
Organization (NPI-2)
Active
Internal Medicine
Provider Information
- NPI Number
1023503315- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 5130 WESCOTT BLVD, SUMMERVILLE, SC, 294859043
- Phone
- (843) 486-2712
Specialties & Taxonomies
Internal Medicine
Primary License: SC #1631