| NPI | 1124240999 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYMOND H STROUP President 843-479-6102 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: SC 23493) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: SC 2688) |
| 207Q00000X Family Medicine (Licence: SC 29388) | |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2022-03-08 |