| NPI | 1568536050 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOLLY RACQUEL POE Managing Partner 843-817-6345 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2471V0105X Radiologic Technologist, Vascular Sonography (Licence: SC 79275) |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2020-08-22 |