specializing in emergency medicine in Bennettsville, South Carolina
NPI: 1942364674
Provider Type
2
Practice Locations
Mailing Location
200 COPORATE BLVD.
SUITE 201
LAFAYETTE, LA 70508
Practice Location
Provider Information
Gender:
Sole Proprietor:No
Enumeration Date:12/20/2006
Last Updated:2/2/2009
Credentials
Primary Credential: