| NPI | 1114344702 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUETTE CALDWELL Owner/President 803-917-7302 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 251K00000X Public Health or Welfare |
| 251V00000X Voluntary or Charitable | |
| 261QA0005X Clinic/Center, Ambulatory Family Planning Facility | |
| 261QC1500X Clinic/Center, Community Health | |
| 261QC1800X Clinic/Center, Corporate Health | |
| 261QE0002X Clinic/Center, Emergency Care | |
| 261QH0100X Clinic/Center, Health Services | |
| 261QM1000X Clinic/Center, Migrant Health | |
| 261QR0200X Clinic/Center, Radiology | |
| 261QU0200X Clinic/Center, Urgent Care | |
| 261QX0100X Clinic/Center, Occupational Medicine | |
| Enumeration Date | 2014-03-21 |
| Last Update Date | 2014-03-21 |