| NPI | 1215987474 |
|---|---|
| Doing Business As | GOOSE CREEK FAMILY PRACTICE |
| Entity Type | Organization |
| Authorized Contact | LINDA C SHOEMAKER COO 843-937-8101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2008-09-15 |