| NPI | 1619744398 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNA ALLMAN Owner 803-270-1101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2023-12-04 |
| Last Update Date | 2023-12-05 |