| NPI | 1023105277 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA W DOUGHERTY President 803-407-0385 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207KA0200X Allergy & Immunology, Allergy (Licence: SC 28749) |
| Enumeration Date | 2006-10-09 |
| Last Update Date | 2020-05-21 |