| NPI | 1114391802 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATOYA M WANSER Credentials Manager 803-751-5688 |
| Organization Subpart ? | No |
| Primary Taxonomy | 286500000X Military Hospital (Licence: SC 7985) |
| Enumeration Date | 2015-11-19 |
| Last Update Date | 2015-11-19 |