| NPI | 1255446837 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTHA MCINTYRE Medical Staff Coordinator 803-776-4000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: SC 13816) |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2020-08-22 |