| NPI | 1215255617 |
|---|---|
| Doing Business As | ADVANCED VACCINE SERVICE |
| Entity Type | Organization |
| Authorized Contact | WILLIAM ARTHUR SHROUDS CFO 803-736-0442 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: SC 20616) |
| Enumeration Date | 2010-05-10 |
| Last Update Date | 2010-05-10 |