NPI | 1508343328 |
---|---|
Entity Type | Organization |
Authorized Contact | MARTINA ALIN SNIDER 0wner 843-714-7514 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier |
Enumeration Date | 2018-07-24 |
Last Update Date | 2018-07-24 |