| NPI | 1497490676 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERRI MCCAIN Owner 803-361-3244 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2022-05-02 |
| Last Update Date | 2022-05-02 |