NPI | 1497771919 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBERT JOHN SPARANO Doctor 843-852-0551 |
Organization Subpart ? | No |
Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care (Licence: SC 17193) |
Enumeration Date | 2006-07-15 |
Last Update Date | 2020-08-22 |