| NPI | 1588858401 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WARREN E HAMMETT CEO 803-245-6228 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: SC 377956) |
| Enumeration Date | 2007-09-04 |
| Last Update Date | 2007-09-04 |