| NPI | 1689219800 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAMEKA MISHOE MORRISON Credentialist Specialsit 843-455-6141 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 2080A0000X Pediatrics, Adolescent Medicine | |
| 2080I0007X Pediatrics, Clinical & Laboratory Immunology | |
| 253Z00000X In Home Supportive Care | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 261QU0200X Clinic/Center, Urgent Care | |
| 291U00000X Clinical Medical Laboratory | |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2019-11-12 |
| Last Update Date | 2023-11-01 |