| NPI | 1134090582 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA RICE Authorized Official 843-796-1769 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine |
| Enumeration Date | 2025-09-17 |
| Last Update Date | 2025-09-17 |