NPI | 1679910426 |
---|---|
Entity Type | Organization |
Authorized Contact | GASTON MACHADO Medical Director 843-572-5990 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: SC 13512) |
Enumeration Date | 2013-06-03 |
Last Update Date | 2013-06-03 |