| NPI | 1629017694 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS BRANTLEY ARNAU President 843-572-7727 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology |
| 2085U0001X Radiology, Diagnostic Ultrasound | |
| 261QM1200X Clinic/Center, Magnetic Resonance Imaging (MRI) | |
| 261QP2000X Clinic/Center, Physical Therapy | |
| 261QU0200X Clinic/Center, Urgent Care | |
| 291U00000X Clinical Medical Laboratory | |
| Enumeration Date | 2006-06-05 |
| Last Update Date | 2021-06-01 |