| NPI | 1740394071 |
|---|---|
| Doing Business As | TRIDENT SENIOR HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | KIMBERLIE DENMARK Director 843-797-0416 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2008-03-24 |