| NPI | 1134692676 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN SANFORD ERIKSON Direction Of Billing 803-399-8793 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 207P00000X Emergency Medicine |
| 207Q00000X Family Medicine | |
| 261QU0200X Clinic/Center Urgent Care | |
| Enumeration Date | 2019-01-08 |
| Last Update Date | 2024-01-02 |