| NPI | 1215187851 |
|---|---|
| Other Name | UNITED STATES MARINE CORPS, UNITED STATES NAVY |
| Entity Type | Organization |
| Authorized Contact | WILLIAM LEONARD Director Branch Clinic 843-228-2602 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: GA 061418) |
| Enumeration Date | 2008-09-19 |
| Last Update Date | 2008-09-19 |