| NPI | 1700093705 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT S EAGERTON Owner 803-433-0439 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health (Licence: SC 11415) |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2009-03-31 |