| NPI | 1255640785 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN C SAPONARA President 843-681-8001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: SC 1642) |
| Enumeration Date | 2010-10-01 |
| Last Update Date | 2013-11-14 |