| NPI | 1417388471 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEON A. BRUNSON Chief Executive Officer 803-531-6900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center Community Health (Licence: SC 005593) |
| Enumeration Date | 2013-12-02 |
| Last Update Date | 2013-12-02 |