| 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 |