| NPI | 1518337831 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS B ECKERT Director Of Patient Accounts 803-296-2548 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty |
| Enumeration Date | 2015-09-29 |
| Last Update Date | 2015-09-29 |