| NPI | 1659561876 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANK DOUGLAS JONES Owner 843-971-1919 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: SC 4746) |
| Enumeration Date | 2007-07-25 |
| Last Update Date | 2007-07-25 |