| NPI | 1700941010 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA GAIL HANCOCK Owner 803-808-1707 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: SC apn30) |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2020-08-22 |