| NPI | 1336128412 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLOTTE L SLOAN Owner 843-839-9202 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: SC 26916) |
| Enumeration Date | 2006-01-17 |
| Last Update Date | 2007-10-26 |