| NPI | 1447637327 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SIENA SHIELDS ALFORD Physician 843-488-4300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: SC 0285) |
| Enumeration Date | 2015-04-30 |
| Last Update Date | 2015-04-30 |