| NPI | 1659343465 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEANNE L MOREHOUSE Dir Of Operations 843-777-7030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family |
| Enumeration Date | 2006-02-06 |
| Last Update Date | 2020-08-22 |