| NPI | 1609465335 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA R GRANT Managing Member 843-655-5715 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083P0901X Preventive Medicine Public Health & General Preventive Medicine |
| Enumeration Date | 2021-01-17 |
| Last Update Date | 2021-02-16 |