| NPI | 1336699917 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL GLENN TWILLEY CEO 843-936-6451 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine (Licence: SC 13315) |
| Enumeration Date | 2016-10-07 |
| Last Update Date | 2017-11-27 |