NPI | 1053489443 |
---|---|
Entity Type | Organization |
Authorized Contact | INGRID KRISTINE NIVENS Office Manager 843-705-7471 |
Organization Subpart ? | No |
Primary Taxonomy | 174400000X Specialist (Licence: SC 18439) |
Enumeration Date | 2006-12-01 |
Last Update Date | 2007-12-31 |