| NPI | 1760871115 |
|---|---|
| Doing Business As | ST. LAWRENCE PLACE |
| Entity Type | Organization |
| Authorized Contact | STUART A. HAMILTON CEO 803-733-5969 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2015-01-22 |
| Last Update Date | 2022-02-10 |