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 |