| NPI | 1124611520 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMILY NEAL DELEON Family Nurse Practitioner 843-220-0551 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2021-02-16 |
| Last Update Date | 2025-01-27 |