| NPI | 1740210459 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCH E SEABROOK Medical Director 803-796-0642 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2007-11-06 |