| NPI | 1023372943 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN MCKAY Officer/Director 843-669-1010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NR0400X |
| Additional Taxonomies | 204C00000X Neuromusculoskeletal Medicine, Sports Medicine |
| 207Q00000X Family Medicine | |
| Enumeration Date | 2012-06-25 |
| Last Update Date | 2012-06-25 |