| NPI | 1144828468 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHEILA DARLENE BELTON-GAYMON Nurse Practitioner/ Co Owner/Member 803-260-3679 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care |
| Enumeration Date | 2020-10-09 |
| Last Update Date | 2020-10-09 |