| NPI | 1245193507 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONI ANNETTE BUTLER WILLIAMS O/O 803-878-1437 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 343800000X Secured Medical Transport (VAN) |
| Enumeration Date | 2025-12-04 |
| Last Update Date | 2025-12-04 |