| NPI | 1669981429 |
|---|---|
| Former Legal Business Name | SOUTH CAROLINA CENTER FOR INTERGRATIVE MEDICINE |
| Entity Type | Organization |
| Authorized Contact | KIMBERLY SHIRK Physcian Assistant 803-386-8684 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: SC 2504) |
| Enumeration Date | 2017-09-25 |
| Last Update Date | 2018-06-16 |