| NPI | 1215561360 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL FULTON ERVIN Sr Vice President And CFO 843-777-2910 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2083X0100X Preventive Medicine Occupational Medicine |
| Enumeration Date | 2020-02-27 |
| Last Update Date | 2020-02-27 |