| NPI | 1659382067 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES MELVIN LINDSEY Owner 843-347-4677 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: SC 7486) |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2020-08-22 |