| NPI | 1417483355 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELBY LEFFINGWEELL Office Manager 843-784-3636 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: SC 14073) |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2017-05-11 |