| NPI | 1437529260 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TEMISAN ETIKERENTSE Medical Provider 843-725-4673 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: SC 24720000x) |
| Enumeration Date | 2015-10-06 |
| Last Update Date | 2015-10-06 |