| 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 |