| NPI | 1639524432 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID HALL HAMMETT Owner 803-467-8969 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: SC 26144) |
| Enumeration Date | 2016-04-29 |
| Last Update Date | 2016-10-03 |