| NPI | 1235025164 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTY EIGNER Owner 803-723-5959 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 208D00000X General Practice |
| Enumeration Date | 2025-06-16 |
| Last Update Date | 2025-10-16 |