| NPI | 1225770258 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA DENISE WILLIAMS Speech Pathologist 843-461-7050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2022-04-11 |
| Last Update Date | 2022-04-11 |