| NPI | 1346490406 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES G SHISSIAS Owner 843-770-0404 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: SC 21645) |
| Enumeration Date | 2008-09-25 |
| Last Update Date | 2008-09-25 |