| NPI | 1033393954 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER F EDWARDS Registrant 843-792-8451 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: SC 50000863) |
| Enumeration Date | 2007-12-27 |
| Last Update Date | 2008-03-04 |