| NPI | 1487817730 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | S CLARK TRASK Partner 843-524-3344 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health (Licence: SC 26623) |
| Enumeration Date | 2008-07-08 |
| Last Update Date | 2008-07-08 |