| NPI | 1508825340 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | J. FRANK MARTIN Physician 803-256-2286 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: SC 13700) |
| Enumeration Date | 2006-03-21 |
| Last Update Date | 2009-09-30 |