| NPI | 1033558002 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES DAVID WOODCOCK Owner/Operator 843-424-5565 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 1977) |
| Enumeration Date | 2013-06-22 |
| Last Update Date | 2013-06-22 |