| NPI | 1033930664 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES MCDOWELL DURANT Owner 843-252-1351 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics |
| Enumeration Date | 2024-10-17 |
| Last Update Date | 2024-10-22 |