| NPI | 1497735997 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATAHSA F GLENCAMP Billing Specialist 843-958-8877 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: SC 12840) |
| Enumeration Date | 2006-01-19 |
| Last Update Date | 2007-09-26 |