| NPI | 1659041838 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AQUANETTA LA SHONDA NESBITT CEO/Fnp 843-598-5470 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2021-09-17 |
| Last Update Date | 2021-10-26 |