NPI | 1306649710 |
---|---|
Entity Type | Organization |
Authorized Contact | JAZMINE MCFADDEN Clinical Director 803-404-7789 |
Organization Subpart ? | No |
Primary Taxonomy | 261QX0100X Clinic/Center, Occupational Medicine |
Additional Taxonomies | 261Q00000X Clinic/Center |
261QR0400X Clinic/Center, Rehabilitation | |
291U00000X Clinical Medical Laboratory | |
Enumeration Date | 2025-03-31 |
Last Update Date | 2025-03-31 |