| NPI | 1538910450 |
|---|---|
| Other Name | HEALTHY ROOTS MD |
| Entity Type | Organization |
| Authorized Contact | ASIA MCDONALD Medical Director 843-284-6422 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2024-03-28 |
| Last Update Date | 2024-03-28 |