| NPI | 1346930385 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHELLE SHEPARD Nurse Practitioner 803-290-6357 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
| Enumeration Date | 2023-05-12 |
| Last Update Date | 2023-05-12 |