| NPI | 1457653313 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM JACKSON EPPERSON Owner/Member 843-651-4111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: SC MD12346) |
| Enumeration Date | 2010-11-29 |
| Last Update Date | 2010-11-29 |