| NPI | 1568183069 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRADLEY C MORRIS CEO 843-683-2100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 202D00000X |
| Additional Taxonomies | 261QI0500X Clinic/Center Infusion Therapy |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2022-09-05 |
| Last Update Date | 2022-09-05 |