| NPI | 1669188538 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANET E HARRIS-HICKS Owner 843-895-2120 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology Female Pelvic Medicine and Reconstructive Surgery |
| Enumeration Date | 2023-01-25 |
| Last Update Date | 2023-01-25 |