| NPI | 1720411077 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS BRANTLEY ARNAU President 843-572-7727 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2013-08-09 |
| Last Update Date | 2021-06-02 |