NPI | 1013156306 |
---|---|
Entity Type | Organization |
Authorized Contact | PETE LOUIS STEPHENS Clinic Manager 843-298-3980 |
Organization Subpart ? | No |
Primary Taxonomy | 2083P0011X Preventive Medicine, Undersea and Hyperbaric Medicine |
Enumeration Date | 2009-02-11 |
Last Update Date | 2009-02-11 |