| NPI | 1578940847 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVELYN R COE Nurse Practitoner 843-968-8333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: SC APRN 1734) |
| Enumeration Date | 2015-05-06 |
| Last Update Date | 2015-05-06 |