| NPI | 1619014487 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN GARNETT RAMSLATTORN President 843-249-2451 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: SC 9264) |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2008-03-05 |