| NPI | 1174045710 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERESA BLACKMON CATOE Ap RN 803-283-7465 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: SC 18183) |
| Enumeration Date | 2017-07-14 |
| Last Update Date | 2018-06-16 |