NPI | 1124611520 |
---|---|
Entity Type | Organization |
Authorized Contact | EMILY NEAL DELEON Family Nurse Practitioner 803-630-7010 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
Enumeration Date | 2021-02-16 |
Last Update Date | 2021-02-16 |