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 |