| NPI | 1679735492 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGO LYNN DIXON Speech Language Pathologist 843-817-3068 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: SC 3862) |
| Enumeration Date | 2008-07-02 |
| Last Update Date | 2008-07-02 |