| NPI | 1396173977 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHERINE M SAUNDERS Owner 843-661-0500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: SC F171) |
| Enumeration Date | 2013-10-17 |
| Last Update Date | 2013-10-17 |