| NPI | 1497322325 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAULETTE RUMPH CEO 803-836-8679 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 261Q00000X |
| 261QU0200X Clinic/Center, Urgent Care | |
| Enumeration Date | 2021-06-09 |
| Last Update Date | 2021-06-09 |