| NPI | 1598324774 |
|---|---|
| Doing Business As | MUSCP PRIMARY CARE HEALTH WEST |
| Entity Type | Organization |
| Authorized Contact | KARYN RAE Director 843-876-1344 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2019-06-11 |
| Last Update Date | 2019-12-10 |