| NPI | 1093762171 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALICE JOYCE BROOKS President 803-438-6023 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: SC 14008) |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2010-06-28 |