| NPI | 1093953150 |
|---|---|
| Former Legal Business Name | EDDIE T SHULER |
| Entity Type | Organization |
| Authorized Contact | EDDIE T SHULER RT( R ) Registered X Ray Technologist 803-477-5366 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: SC 00-2769 X-RAY TECH) |
| Enumeration Date | 2009-01-28 |
| Last Update Date | 2009-01-28 |