| NPI | 1396779856 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAROLD E TUCKER Chief Executive Officer 843-431-2405 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2010-08-16 |