| NPI | 1043412885 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUDESH H KEDAR Medical Director 803-285-2225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center Rural Health (Licence: SC 29291) |
| Enumeration Date | 2007-06-04 |
| Last Update Date | 2009-12-07 |