| NPI | 1659524684 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT TURNER CFO 843-695-6071 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 133NN1002X Nutritionist Nutrition, Education |
| 207Q00000X Family Medicine (Licence: SC 161924) | |
| Enumeration Date | 2008-11-04 |
| Last Update Date | 2021-06-01 |