| NPI | 1023246659 |
|---|---|
| Other Name | 437 MEDICAL GROUP / CAFB |
| Entity Type | Organization |
| Authorized Contact | RONNIE LEE GODBOLT Independent Duty Medical Technician 843-963-6936 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Enumeration Date | 2009-06-22 |
| Last Update Date | 2009-06-22 |