| NPI | 1346088879 |
|---|---|
| Doing Business As | MOBILE HEALTH CLINIC #2 |
| Entity Type | Organization |
| Authorized Contact | TONY MEGNA CEO 803-254-3676 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2024-07-18 |
| Last Update Date | 2024-09-09 |