| NPI | 1104150739 |
|---|---|
| Doing Business As | THE RYAN WHITE WELLNESS CENTER |
| Entity Type | Organization |
| Authorized Contact | WILLIAM ANTHONY JACKSON CEO 843-724-2954 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine Infectious Disease |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2009-09-30 |
| Last Update Date | 2024-03-17 |