| NPI | 1174706337 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEUNG-JUNG O Owner 843-571-4742 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: SC SC17305) |
| Enumeration Date | 2007-12-11 |
| Last Update Date | 2007-12-11 |