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 |