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 |