NPI | 1306378773 |
---|---|
Entity Type | Organization |
Authorized Contact | TRACY JOHNSON TEAL Family Nurse Practitioner 843-921-2620 |
Organization Subpart ? | No |
Primary Taxonomy | 251J00000X Nursing Care (Licence: SC 20722) |
Enumeration Date | 2017-04-03 |
Last Update Date | 2017-04-03 |