| NPI | 1487067070 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD S SCHAFFER Medical Director 803-547-4343 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 2009-01463) |
| Enumeration Date | 2014-06-11 |
| Last Update Date | 2014-06-11 |