NPI | 1023557485 |
---|---|
Entity Type | Organization |
Authorized Contact | SHANNON MARIE COOKE Women's Health Nurse Practitioner 864-412-8424 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center (Licence: SC 3302) |
Enumeration Date | 2017-02-18 |
Last Update Date | 2023-03-07 |