| NPI | 1700063716 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL J SINGLETON President 843-449-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: SC 603) |
| Enumeration Date | 2008-01-22 |
| Last Update Date | 2017-01-21 |