| NPI | 1407221062 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | J RYAN STURGILL President 843-681-7777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: SC 4029) |
| Enumeration Date | 2015-12-08 |
| Last Update Date | 2015-12-08 |