| NPI | 1730384371 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA SUZANNE SMITH Nurse Practioner 843-357-8558 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: SC 29671) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: SC 26971) |
| Enumeration Date | 2007-06-15 |
| Last Update Date | 2008-09-05 |