| NPI | 1548451271 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIGHT MCCONNELL Owner 843-284-5200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083S0010X Preventive Medicine, Sports Medicine (Licence: SC 12452) |
| Enumeration Date | 2007-08-07 |
| Last Update Date | 2007-08-07 |