| NPI | 1508048844 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WAYNE R YOST President 803-279-4561 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: SC 7112) |
| Enumeration Date | 2007-11-28 |
| Last Update Date | 2010-08-11 |