| NPI | 1265752588 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIE E SATIZABAL Administrative Assistant 843-338-1598 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: SC APN 1897) |
| Enumeration Date | 2010-06-09 |
| Last Update Date | 2010-06-09 |