| NPI | 1356618920 |
|---|---|
| Doing Business As | LIFE CENTER FAMILY MEDICINE |
| Entity Type | Organization |
| Authorized Contact | DANA L SIMPSON Medical Director, CEO 843-261-2600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2011-11-25 |
| Last Update Date | 2011-11-25 |