| NPI | 1588010474 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN CHAD HAYES President 843-607-6009 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: SC 35715) |
| Enumeration Date | 2016-05-10 |
| Last Update Date | 2016-05-10 |