| NPI | 1174620520 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | XIAOLU J DONG Owner Physician 803-286-5700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: SC 8904) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2010-11-15 |