| NPI | 1043707557 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA E. MCALLISTER Np, Owner 843-400-0028 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family |
| 363LP0200X Nurse Practitioner Pediatrics (Licence: SC 18442) | |
| Enumeration Date | 2018-04-19 |
| Last Update Date | 2018-08-13 |