| NPI | 1134801160 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA C CRAWFORD Owner 843-945-1452 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty |
| Additional Taxonomies | 2083B0002X Preventive Medicine Obesity Medicine |
| 104100000X Social Worker | |
| 163WG0000X Registered Nurse General Practice | |
| 251B00000X Case Management | |
| 261QI0500X Clinic/Center Infusion Therapy | |
| 363LF0000X Nurse Practitioner Family | |
| Enumeration Date | 2023-08-01 |
| Last Update Date | 2023-08-01 |