| NPI | 1679770655 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | QUEEN NESMITH Office Manager 843-436-1333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 202C00000X Independent Medical Examiner (Licence: SC 7042) |
| Enumeration Date | 2007-07-02 |
| Last Update Date | 2020-08-22 |