| NPI | 1356049746 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBBIE BOLIG Director Of Revenue Cycle 843-222-9581 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty |
| Enumeration Date | 2023-02-16 |
| Last Update Date | 2023-02-16 |