| NPI | 1033898309 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON RICHICHI Executive Director 843-749-2220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine |
| Enumeration Date | 2023-07-14 |
| Last Update Date | 2023-07-14 |