| 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 |