NPI | 1649414632 |
---|---|
Entity Type | Organization |
Authorized Contact | THOMAS BRANTLEY ARNAU President 843-572-7727 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: SC 10991) |
Enumeration Date | 2009-04-22 |
Last Update Date | 2021-06-01 |