| NPI | 1568244093 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VEOLA RILEY-AMAKER CEO 803-479-0413 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 251B00000X Case Management |
| 251J00000X Nursing Care | |
| 251K00000X Public Health or Welfare | |
| 261Q00000X Clinic/Center | |
| 261QC1800X Clinic/Center, Corporate Health | |
| 261QH0100X Clinic/Center, Health Services | |
| 261QS1000X Clinic/Center, Student Health | |
| Enumeration Date | 2023-10-18 |
| Last Update Date | 2023-10-18 |