| NPI | 1699047746 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA THARNISH JENKINS Clinic Director 843-225-2550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: SC DO252) |
| Enumeration Date | 2012-02-06 |
| Last Update Date | 2012-06-13 |