| NPI | 1114287315 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GAIL L REARDEN Physician/Owner 843-760-0069 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS1200X Clinic/Center Sleep Disorder Diagnostic |
| Enumeration Date | 2012-05-22 |
| Last Update Date | 2012-05-22 |