NPI | 1538263272 |
---|---|
Entity Type | Organization |
Authorized Contact | WINSTON DOWD MCIVER Physician 843-234-4362 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: SC 22160) |
Enumeration Date | 2006-09-12 |
Last Update Date | 2020-08-22 |