| NPI | 1427792886 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMMY ELIZABETH HIOTT Nurse Practitioner 843-574-7840 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2022-04-22 |
| Last Update Date | 2023-03-07 |