| 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 |