| NPI | 1629449137 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY C WILKINS Owner 843-299-1451 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| Enumeration Date | 2015-10-09 |
| Last Update Date | 2015-10-09 |