| NPI | 1205889789 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUTKUMAR JANI Owner 803-419-4949 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: SC 15409) |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2008-04-20 |