| NPI | 1760967053 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT TURNER CFO 843-695-6071 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2018-10-02 |
| Last Update Date | 2021-06-02 |