| NPI | 1205175502 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN MURPHY Medical Director 803-548-7300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service (Licence: SC 16761) |
| Enumeration Date | 2013-02-06 |
| Last Update Date | 2013-03-12 |