| NPI | 1396969002 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MORRIS EDWARD BROWN Owner 843-374-8380 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 261QR1300X Clinic/Center, Rural Health (Licence: SC 17100) |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2009-03-16 |