| NPI | 1740390715 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES GARRICK WILSON Owner 803-206-2110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP0905X Clinic/Center, Public Health, State or Local |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2020-08-22 |