| NPI | 1407153851 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENIFER LACHICOTTE President 843-237-5593 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 54-00597) |
| Enumeration Date | 2011-02-22 |
| Last Update Date | 2011-02-22 |