| NPI | 1245549096 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY ERIN O'NEILL Doctor/Owner 843-588-5133 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: SC 3574) |
| Enumeration Date | 2010-09-28 |
| Last Update Date | 2010-09-28 |