| NPI | 1720256316 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHRYN HUGHES Nurse Manager 803-323-2206 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 261QS1000X Clinic/Center, Student Health |
| 261QS1000X Clinic/Center, Student Health | |
| Enumeration Date | 2008-02-15 |
| Last Update Date | 2024-09-06 |