| NPI | 1699704569 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ENI CLEMENT OKONOFUA President 843-568-8330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: SC 21076) |
| Enumeration Date | 2006-07-02 |
| Last Update Date | 2008-04-20 |