| NPI | 1467724799 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEAN PAGE President 803-642-0277 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: SC 21914) |
| Enumeration Date | 2012-02-02 |
| Last Update Date | 2014-01-07 |