| NPI | 1194363580 |
|---|---|
| Doing Business As | THE EPICENTRE, LLC |
| Entity Type | Organization |
| Authorized Contact | KENOSHA D GLEATON Md/Owner 843-804-6010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Enumeration Date | 2019-12-16 |
| Last Update Date | 2024-09-13 |