| NPI | 1487040192 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGOT CARROLL Adminstrative Coordinator 803-799-4800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: SC 19286) |
| Enumeration Date | 2015-04-09 |
| Last Update Date | 2015-04-09 |