| NPI | 1295761492 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUDESH H KEDAR Medical Director 803-285-2225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: SC 20291) |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2007-12-21 |