| NPI | 1508838095 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GAYLE S RICHMOND Manager/Partner 843-651-6525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Additional Taxonomies | 261QR1300X Clinic/Center, Rural Health |
| Enumeration Date | 2006-02-07 |
| Last Update Date | 2013-01-11 |