| NPI | 1407864184 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA THOMPSON Physician/Practice Manager 843-524-8151 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2007-10-11 |