| NPI | 1720140825 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM D MARTIN President 843-524-5437 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health (Licence: SC 12254) |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2024-11-11 |