| NPI | 1376070151 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BROOKE L MEDLIN Speech Language Pathologist 843-899-8800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: SC 493766) |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2017-05-11 |