| NPI | 1407198674 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN ALEXANDER NICHOLSON President 843-693-2346 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: SC 15656) |
| Enumeration Date | 2013-03-26 |
| Last Update Date | 2014-04-30 |