| NPI | 1669027595 |
|---|---|
| Doing Business As | DUNES WEST MEDICAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | SCOTT WILLIAM SMITH Owner/President 843-714-8020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine |
| Enumeration Date | 2019-08-07 |
| Last Update Date | 2019-08-07 |