| NPI | 1306197389 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA S MORRIS Office Manager 843-651-9009 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: SC 2881) |
| Enumeration Date | 2012-10-01 |
| Last Update Date | 2012-10-01 |