NPI | 1619934981 |
---|---|
Entity Type | Organization |
Authorized Contact | EDWARD DONALD REED Medical Provider 803-943-2233 |
Organization Subpart ? | No |
Primary Taxonomy | 261QC1500X Clinic/Center, Community Health (Licence: SC 22177) |
Enumeration Date | 2006-04-28 |
Last Update Date | 2020-08-22 |