| NPI | 1467841361 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BLAIR MARTIN President/Owner 843-247-3054 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081N0008X Physical Medicine & Rehabilitation, Neuromuscular Medicine (Licence: OH 35.082287) |
| Enumeration Date | 2015-01-15 |
| Last Update Date | 2015-01-15 |