| NPI | 1285708966 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHELY D. KENT President 843-665-4104 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: SC 13828) |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2020-08-22 |