| NPI | 1417393299 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES E. CAULEY Practice Owner 843-744-8338 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: SC 3678) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: SC 3405) |
| Enumeration Date | 2013-05-20 |
| Last Update Date | 2013-05-20 |