| NPI | 1043408107 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANN M KULIK President 803-648-5542 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: SC 29368) |
| Enumeration Date | 2007-10-12 |
| Last Update Date | 2012-09-11 |