| NPI | 1225492168 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE SUZANNE QUAYE CEO 843-861-2726 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: SC 22891) |
| Enumeration Date | 2016-04-06 |
| Last Update Date | 2016-04-06 |