NPI | 1396700183 |
---|---|
Entity Type | Organization |
Authorized Contact | STEVEN K BARNETT President 803-667-1528 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2500X Clinic/Center Medical Specialty (Licence: SC 20528) |
Enumeration Date | 2006-04-18 |
Last Update Date | 2020-04-27 |