| NPI | 1285860098 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN MCCARDLE Nurse Manager 843-820-5372 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: SC 6391) |
| Enumeration Date | 2009-06-08 |
| Last Update Date | 2009-12-04 |