| NPI | 1588792030 |
|---|---|
| Other Name | CHARLESTON MEDICAL ARTS CENTER |
| Entity Type | Organization |
| Authorized Contact | HERBERT DRAYTON Administrator 843-554-1029 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: SC 67825) |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2007-07-10 |