NPI | 1467884130 |
---|---|
Entity Type | Organization |
Authorized Contact | DAVID SETTLE REID Owner 843-681-4088 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: SC 36150) |
Enumeration Date | 2013-08-05 |
Last Update Date | 2013-08-05 |